Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10577 | Date 29/09/2023 |
| Token No | SM/22-23/12804 29/09/2023 | Serial | 004 |
| Patient Name | Mrs. ANJALI SAMANTA | Contact No | 9432401388 |
| Address | 155/1 MKANIKTALA | Age | 50 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||