Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08888 | Date 27/04/2023 |
| Token No | SM/22-23/9207 27/04/2023 | Serial | 010 |
| Patient Name | Miss ANWESHA DAS | Contact No | 9007076392 |
| Address | MAHESH | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||