Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07713 | Date 18/11/2022 |
| Token No | SM/22-23/6434 18/11/2022 | Serial | 005 |
| Patient Name | Miss SWAPNA HARI | Contact No | 9528892373 |
| Address | 4 BESWA HATA | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||