Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09036 | Date 12/05/2023 |
| Token No | SM/22-23/9540 12/05/2023 | Serial | 028 |
| Patient Name | Mrs. TRIPTI PAL | Contact No | 8100857490 |
| Address | CHATRA | Age | 49 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||