Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06523 | Date 27/07/2022 |
| Token No | SM/22-23/4126 27/07/2022 | Serial | 028 |
| Patient Name | Mrs. SHIBANI PRADHAN | Contact No | NOT GIVEN |
| Address | 101 R B SARANI | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||