Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08415 | Date 21/02/2023 |
| Token No | SM/24-25/16672 05/06/2024 | Serial | 010 |
| Patient Name | Mrs. CHAINA MAITY | Contact No | 9163642743 |
| Address | CHATRA, MUKHERJEE PARA, HARISABHA | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||