Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06049 | Date 09/06/2022 |
| Token No | SM/24-25/16458 23/05/2024 | Serial | 028 |
| Patient Name | Mrs. MAHAMAYA DAS | Contact No | NOT GIVEN |
| Address | ASHOKNAGAR | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||