Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03810 | Date 21/02/2023 |
| Token No | SM/22-23/7783 24/03/2023 | Serial | 011 |
| Patient Name | Mrs. ARPITA PAL | Contact No | 7439049144 |
| Address | PROVASNAGAR NEW POST OFFICE 712249 | Age | 41 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||