Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09578 | Date 10/07/2023 |
| Token No | SM/22-23/10757 10/07/2023 | Serial | 009 |
| Patient Name | Mrs. MAYA DAS | Contact No | 8100523404 |
| Address | RISHRA, 4 NO GATE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||