Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09546 | Date 05/07/2023 |
| Token No | SM/22-23/10934 17/07/2023 | Serial | 017 |
| Patient Name | Mrs. SUBHRA RATH | Contact No | 9748326708 |
| Address | 77 J.N. LAHIRI ROAD | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||