Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04335 | Date 15/06/2023 |
| Token No | SM/22-23/18218 05/02/2024 | Serial | 075 |
| Patient Name | Mr. ASIM DAS | Contact No | 9143551248 |
| Address | RISHRA | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||