Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07126 | Date 23/09/2022 |
| Token No | SM/22-23/5297 23/09/2022 | Serial | 019 |
| Patient Name | Mrs. TUMPA PATRA | Contact No | 9883542148 |
| Address | 16 BLC MILLS ROAD | Age | 41 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||