Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 00938 | Date 13/02/2020 |
| Token No | SM/24-25/27479 02/09/2024 | Serial | 015 |
| Patient Name | Mrs. PRAMILA DOM | Contact No | 9830288502 |
| Address | 43/25 N S ROAD RISHRA M RISHRA 712248 | Age | 47 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||