Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11591 | Date 31/05/2024 |
| Token No | SM/24-25/16604 31/05/2024 | Serial | 005 |
| Patient Name | Mrs. REKHA DAS | Contact No | 9477990598 |
| Address | 543 G T ROAD, MANIKTALA | Age | 82 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||