Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13144 | Date 21/06/2025 |
| Token No | SM/25-26/927 21/06/2025 | Serial | 011 |
| Patient Name | Mrs. BABITA DEBI | Contact No | 8210864867 |
| Address | 9 NO LINE | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||