Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05922 | Date 21/12/2023 |
| Token No | SM/22-23/16795 21/12/2023 | Serial | 048 |
| Patient Name | Mrs. KANAK TANTI | Contact No | |
| Address | CHAMPDANI BAIDYABATI | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||