Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04331 | Date 15/06/2023 |
| Token No | SM/22-23/9606 15/06/2023 | Serial | 019 |
| Patient Name | Mrs. SANTI DEBI | Contact No | 6290309134 |
| Address | 43/2 N S ROAD RISHRA M | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||