Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 07342 | Date 19/10/2022 |
| Token No | SM/22-23/5697 19/10/2022 | Serial | 034 |
| Patient Name | Mrs. SHIPRA DAS | Contact No | NOT GIVEN |
| Address | MAHESH | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||