Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05504 | Date 08/03/2022 |
| Token No | SM/21-22/2348 08/03/2022 | Serial | 014 |
| Patient Name | Mrs. SABITA PASWAN | Contact No | 7294800765 |
| Address | BOSEPARA LANE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||