Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06984 | Date 08/09/2022 |
| Token No | SM/22-23/4993 08/09/2022 | Serial | 012 |
| Patient Name | Mrs. JHARNA NANDI | Contact No | 8902154266 |
| Address | PRAVAS NAGAR | Age | 41 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||