Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09579 | Date 10/07/2023 |
| Token No | SM/22-23/10758 10/07/2023 | Serial | 010 |
| Patient Name | Miss SUMITA DAS | Contact No | 9163167762 |
| Address | 4 R K ROAD, RISHRA | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||