Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08349 | Date 05/12/2024 |
| Token No | SM/24-25/32301 05/12/2024 | Serial | 032 |
| Patient Name | Mrs. RANI DEBI | Contact No | 8910101294 |
| Address | 1/B/26 S S ROAD RISHRA M 712249 | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||