Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07875 | Date 02/12/2022 |
| Token No | SM/22-23/6787 02/12/2022 | Serial | 016 |
| Patient Name | Miss MUNNI DAS | Contact No | 7003532896 |
| Address | 13 L B S ROAD | Age | 37 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||