Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06940 | Date 06/09/2022 |
| Token No | SM/22-23/4917 06/09/2022 | Serial | 032 |
| Patient Name | Mrs. MOHONA SASMAL | Contact No | 9874564784 |
| Address | 102 MUKHERJEE PARA | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||