Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 05068 | Date 23/11/2021 |
| Token No | SM/21-22/1434 23/11/2021 | Serial | 006 |
| Patient Name | Mrs. JHUMA SUTRADHAR | Contact No | 9831813933 |
| Address | CHAKLAPARA, PRAVASH NAGAR | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||