Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09394 | Date 16/06/2023 |
| Token No | SM/22-23/10299 16/06/2023 | Serial | 035 |
| Patient Name | Mrs. TUMPA PATRA | Contact No | 9748586251 |
| Address | 8 A B GARDEN LANE | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||