Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08049 | Date 28/12/2022 |
| Token No | SM/22-23/10459 23/06/2023 | Serial | 029 |
| Patient Name | Mrs. ANAMIKA DAS | Contact No | 9681052604 |
| Address | JHAUTALA | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||