Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02893 | Date 14/10/2022 |
| Token No | SM/22-23/3456 14/10/2022 | Serial | 025 |
| Patient Name | Mrs. MOUSUMI PAL | Contact No | 9088474966 |
| Address | 11/A A P GHOSH ROAD CHATRA 712204 | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||