Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 04188 | Date 23/03/2021 |
| Token No | SM/22-23/10445 23/06/2023 | Serial | 015 |
| Patient Name | Mrs. BINDU KOSTA | Contact No | 9883695870 |
| Address | BANGA LAXMI COTTON MILL | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||