Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07187 | Date 11/10/2022 |
| Token No | SM/22-23/5401 11/10/2022 | Serial | 001 |
| Patient Name | Miss RANJITA PRADHAN | Contact No | 8013284936 |
| Address | INDIA JUTE MILL, RAM SITA LANE | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||