Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05589 | Date 06/11/2023 |
| Token No | SM/22-23/15176 06/11/2023 | Serial | 017 |
| Patient Name | Mrs. LAKSHMI MONDAL | Contact No | 9831312837 |
| Address | PANDIT SATGHARA MALLICKPARA 712203 | Age | 54 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||