Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09229 | Date 02/06/2023 |
| Token No | SM/22-23/9940 02/06/2023 | Serial | 021 |
| Patient Name | Mrs. NIRUPAMA DEBI NAYAK | Contact No | 9836049205 |
| Address | 44 N L BHATTACHARYA STREET | Age | 69 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||