Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 12212 | Date 07/10/2024 |
| Token No | SM/24-25/19229 07/10/2024 | Serial | 016 |
| Patient Name | Mrs. CHAYNA MAITY | Contact No | 9163642743 |
| Address | CHATRA HARISABHA | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||