Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08039 | Date 28/12/2022 |
| Token No | SM/22-23/12238 04/09/2023 | Serial | 022 |
| Patient Name | Mrs. PRATIMA SRIMANI | Contact No | NOT GIVEN |
| Address | 75/50/3 BHATTACHARYA GARDEN ALNE | Age | 66 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||