Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10970 | Date 18/12/2023 |
| Token No | SM/22-23/15206 11/03/2024 | Serial | 057 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 9073306250 |
| Address | 132 PATUA PARA LANE | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||