Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05315 | Date 03/10/2023 |
| Token No | SM/22-23/16252 08/12/2023 | Serial | 021 |
| Patient Name | Mrs. BINDIYA SHAW | Contact No | 8100852641 |
| Address | PURBAPARA GHORAMARA P 712203 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||