Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 02659 | Date 30/07/2019 |
| Token No | SM/22-23/13784 14/12/2023 | Serial | 015 |
| Patient Name | Mrs. ARUNA DAS | Contact No | 9903531379 |
| Address | R B SARANI | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||