Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08566 | Date 16/03/2023 |
| Token No | SM/22-23/8337 16/03/2023 | Serial | 009 |
| Patient Name | Mrs. JHARNA JALUI | Contact No | 8981194322 |
| Address | CHATRA PATI PARA, BAIDYABATI | Age | 67 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||