Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 08778 | Date 18/04/2023 |
| Token No | SM/22-23/8941 18/04/2023 | Serial | 002 |
| Patient Name | Mrs. SURADHANI DAS | Contact No | 8017569577 |
| Address | 162 MAHESH COLONY | Age | 65 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||