Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07741 | Date 21/11/2022 |
| Token No | SM/24-25/19460 26/10/2024 | Serial | 005 |
| Patient Name | Mrs. SANTOSH PRADHAN | Contact No | 8100149619 |
| Address | PITAMBAR DEY LANE | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||