Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05669 | Date 05/04/2022 |
| Token No | SM/22-23/2650 05/04/2022 | Serial | 015 |
| Patient Name | Mrs. PUJA NAYEK | Contact No | 8274829815 |
| Address | J N LAHIRI ROAD | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||