Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08387 | Date 20/02/2023 |
| Token No | SM/22-23/9905 01/06/2023 | Serial | 013 |
| Patient Name | Mrs. BANDANA SWAIN | Contact No | 6290108347 |
| Address | 33 K.M. BHATTACHARYA STREET | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||