Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09517 | Date 03/07/2023 |
| Token No | SM/22-23/10532 03/07/2023 | Serial | 002 |
| Patient Name | Miss TANUSHREE CHAKRABORTY | Contact No | 9748754439 |
| Address | 164/2 R K ROAD, CHATRA | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||