Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07611 | Date 11/11/2022 |
| Token No | SM/24-25/17632 20/07/2024 | Serial | 012 |
| Patient Name | Mrs. SUMITRA BISWAL | Contact No | 9330886425 |
| Address | CHANDRA MOHAN ROY LANE | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||