Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08087 | Date 02/01/2023 |
| Token No | SM/22-23/7309 02/01/2023 | Serial | 008 |
| Patient Name | Mrs. PARIDA BEGUM | Contact No | 8293408086 |
| Address | HARIPAL | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||