Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01641 | Date 23/05/2022 |
| Token No | SM/22-23/66 23/05/2022 | Serial | 035 |
| Patient Name | Mrs. SANTANA SIL | Contact No | 9874564407 |
| Address | LILUAH HOWRAH | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||