Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07892 | Date 06/12/2022 |
| Token No | SM/22-23/6830 06/12/2022 | Serial | 007 |
| Patient Name | Mrs. MINATI MAJHI | Contact No | 9836313687 |
| Address | DHARMATALA, KOLBAZAR | Age | 61 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||