Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06956 | Date 07/09/2022 |
| Token No | SM/22-23/4957 07/09/2022 | Serial | 005 |
| Patient Name | Mrs. ARPITA PAUL | Contact No | 7980827505 |
| Address | 57G/A G T ROAD, CHATRA | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||