Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10042 | Date 21/08/2023 |
| Token No | SM/22-23/12168 01/09/2023 | Serial | 004 |
| Patient Name | Mrs. BIRAJINI PRADHAN | Contact No | NOT GIVEN |
| Address | 80 DEY STREET | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||