Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11282 | Date 14/03/2024 |
| Token No | SM/24-25/18063 09/08/2024 | Serial | 002 |
| Patient Name | Mrs. KABITA SASMAL | Contact No | 9903298513 |
| Address | 40/1 BHAGIRATHI LANE | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||