Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05502 | Date 08/03/2022 |
| Token No | SM/21-22/2343 08/03/2022 | Serial | 009 |
| Patient Name | Mrs. SANGITA PASWAN | Contact No | 8697509270 |
| Address | 467/A G T ROAD | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||