Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12527 | Date 14/01/2025 |
| Token No | SM/24-25/20500 14/01/2025 | Serial | 002 |
| Patient Name | Mrs. PRATIMA NAYEK | Contact No | 9330748570 |
| Address | 13 A B MUKHERJEE LANE | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||