Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 06812 | Date 24/08/2022 |
| Token No | SM/22-23/4687 24/08/2022 | Serial | 015 |
| Patient Name | Mrs. SABITA GHORAI | Contact No | 7044629469 |
| Address | JITEN LAHIRI ROAD | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||