Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06478 | Date 26/07/2022 |
| Token No | SM/22-23/4052 26/07/2022 | Serial | 002 |
| Patient Name | Mrs. BHAGYASHREE BISWAL | Contact No | 6289801605 |
| Address | 569 COCKRAIN ROAD | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||