Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09545 | Date 05/07/2023 |
| Token No | SM/24-25/20291 19/12/2024 | Serial | 011 |
| Patient Name | Mrs. SUBHA RATH | Contact No | 9748326708 |
| Address | 77 J.N. LAHIRI ROAD | Age | 57 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||