Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06472 | Date 25/07/2022 |
| Token No | SM/22-23/4039 25/07/2022 | Serial | 031 |
| Patient Name | Mrs. MAYURI LAHA | Contact No | 8617299408 |
| Address | RISHRA BANSTALA | Age | 31 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||