Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 08191 | Date 31/01/2023 |
| Token No | SM/22-23/7560 31/01/2023 | Serial | 007 |
| Patient Name | Mrs. MANJU KOSTA | Contact No | 9748896316 |
| Address | 2 SHIBTALA LANE | Age | 58 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||