Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12054 | Date 04/09/2024 |
| Token No | SM/24-25/18567 04/09/2024 | Serial | 003 |
| Patient Name | Miss SWAPNA BISWAL | Contact No | 8013284936 |
| Address | INDIA JUTE MILL | Age | 21 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||