Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08010 | Date 23/12/2022 |
| Token No | SM/22-23/7137 23/12/2022 | Serial | 006 |
| Patient Name | Mrs. PAMPA MALLICK BHAR | Contact No | 9051373960 |
| Address | KALITALA | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||