Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06869 | Date 28/05/2024 |
| Token No | SM/24-25/22388 28/05/2024 | Serial | 018 |
| Patient Name | Mrs. ANAMIKA BAIDYA | Contact No | 8582908053 |
| Address | DUTTA BAGAN BARABELU BELUMILKI 712223 | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||