Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05836 | Date 11/12/2023 |
| Token No | SM/22-23/16351 11/12/2023 | Serial | 025 |
| Patient Name | Mrs. MINU DEVI | Contact No | 9831458426 |
| Address | 24 CHAMPA KHAL LANE RISHRA 712248 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||