Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08167 | Date 17/01/2023 |
| Token No | SM/22-23/7503 17/01/2023 | Serial | 008 |
| Patient Name | Mrs. ASIMA DAS | Contact No | 9903512126 |
| Address | KHETRASWAR MELA | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||