Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07183 | Date 10/10/2022 |
| Token No | SM/22-23/5396 10/10/2022 | Serial | 029 |
| Patient Name | Miss ARUSHI DAS | Contact No | 9733220033 |
| Address | RUPNARAYAN PUR, ASANSOL | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||