Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05446 | Date 18/02/2022 |
| Token No | SM/21-22/2189 18/02/2022 | Serial | 003 |
| Patient Name | Mrs. RINKI RAJBHAR | Contact No | 8100519027 |
| Address | LAL BAHADUR SHASTRI ROAD | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||