Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11376 | Date 05/04/2024 |
| Token No | SM/24-25/16242 14/05/2024 | Serial | 002 |
| Patient Name | Mrs. KAMALA SAMAL | Contact No | 9339820034 |
| Address | 21,CHOWDHURI PARA LANE | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||