Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 03699 | Date 07/01/2020 |
| Token No | SM/19-20/8288 07/01/2020 | Serial | 019 |
| Patient Name | Mrs. BHAGABAT PRADHAN | Contact No | 9830582400 |
| Address | MANIKTALA | Age | 71 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||