Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04457 | Date 06/07/2023 |
| Token No | SM/22-23/10264 06/07/2023 | Serial | 032 |
| Patient Name | Mrs. USHA BARMA | Contact No | 8478845442 |
| Address | PRABASHNAGAR RISHRA M 712249 | Age | 47 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||