Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03932 | Date 14/03/2023 |
| Token No | SM/22-23/7547 14/03/2023 | Serial | 031 |
| Patient Name | Mrs. NILAM RAI | Contact No | 9681407634 |
| Address | 694 S K NAGAR RISHRA M 712249 | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||