Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07801 | Date 02/09/2024 |
| Token No | SM/24-25/27529 02/09/2024 | Serial | 065 |
| Patient Name | Mrs. RITA SENAPATI | Contact No | 8961293115 |
| Address | 28/36/F/E CHATRA GODAR BAGAN BYE LANE BAIDYABATI M 712204 | Age | 36 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||