Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 05391 | Date 10/10/2023 |
| Token No | SM/22-23/14191 10/10/2023 | Serial | 025 |
| Patient Name | Mrs. BHARATI DEVI | Contact No | 8334020903 |
| Address | 35 G T ROAD RISHRA M 712248 | Age | 37 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||