Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04457 | Date 06/07/2023 |
| Token No | SM/22-23/10787 21/07/2023 | Serial | 028 |
| Patient Name | Mrs. USHA BARMA | Contact No | 8478845442 |
| Address | PRABASHNAGAR RISHRA M 712249 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||