Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06695 | Date 10/08/2022 |
| Token No | SM/22-23/4437 10/08/2022 | Serial | 022 |
| Patient Name | Mrs. BHARATI NAYEK | Contact No | 8100494258 |
| Address | 3A/1 A K C BHATTACHARYA STREET | Age | 34 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||