Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09648 | Date 17/07/2023 |
| Token No | SM/22-23/10950 17/07/2023 | Serial | 033 |
| Patient Name | Mrs. PARBATI DAS | Contact No | 9051831312 |
| Address | 50C RAY LAND ROAD | Age | 80 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||