Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06873 | Date 02/09/2022 |
| Token No | SM/22-23/4820 02/09/2022 | Serial | 016 |
| Patient Name | Mrs. CHINTA DEBI | Contact No | 9163685372 |
| Address | 48/D PACHU GOPAL BHADURI | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||