Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 07438 | Date 28/10/2022 |
| Token No | SM/22-23/5877 28/10/2022 | Serial | 028 |
| Patient Name | Mrs. UTTARA DAS | Contact No | 8583905088 |
| Address | 279 G T ROAD, MAHESH | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||