Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08506 | Date 03/03/2023 |
| Token No | SM/22-23/9896 01/06/2023 | Serial | 004 |
| Patient Name | Mrs. SWAPNA BAG | Contact No | 9874945177 |
| Address | 42 CHATRA BAUIPARA | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||