Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 05519 | Date 09/03/2022 |
| Token No | SM/24-25/18030 08/08/2024 | Serial | 021 |
| Patient Name | Mrs. JAYSHREE TURIYA | Contact No | 6206051486 |
| Address | J N LAHIRI ROAD | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||