Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10025 | Date 18/08/2023 |
| Token No | SM/22-23/11740 18/08/2023 | Serial | 040 |
| Patient Name | Mrs. ASHA RANI BANIK | Contact No | 8100794959 |
| Address | LAXMIGHAT | Age | 75 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||