Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 09426 | Date 21/06/2023 |
| Token No | SM/22-23/10360 21/06/2023 | Serial | 006 |
| Patient Name | Mrs. MILI DAS | Contact No | 8001587850 |
| Address | THAKUR BATI STREET | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||