Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08986 | Date 10/05/2023 |
| Token No | SM/22-23/9447 10/05/2023 | Serial | 007 |
| Patient Name | Miss BARSHA NAYEK | Contact No | 8777244210 |
| Address | JITEN LAHIRI ROAD | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||