Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06925 | Date 03/06/2024 |
| Token No | SM/24-25/22674 03/06/2024 | Serial | 050 |
| Patient Name | Mrs. RINKU SAMANTA | Contact No | 9830518378 |
| Address | BAKULTALA LANE RAJRAJATALA HOARA 711104 | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 52 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||