Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 06653 | Date 08/08/2022 |
| Token No | SM/22-23/4381 08/08/2022 | Serial | 007 |
| Patient Name | Mrs. ASIMA PATRA | Contact No | 7980458210 |
| Address | 57 KHATIR BAZAR | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||