Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05510 | Date 08/03/2022 |
| Token No | SM/21-22/2355 08/03/2022 | Serial | 021 |
| Patient Name | Mrs. APARNA PATRA | Contact No | 8478836965 |
| Address | BANERJEE PARA | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||