Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04865 | Date 18/08/2023 |
| Token No | SM/22-23/12009 18/08/2023 | Serial | 041 |
| Patient Name | Mrs. BHARATI DAS | Contact No | 8617273579 |
| Address | GHORAMARA P MALLICKPARA 712203 | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||