Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05505 | Date 08/03/2022 |
| Token No | SM/21-22/2349 08/03/2022 | Serial | 015 |
| Patient Name | Mrs. KAJAL PASWAN | Contact No | 9073736608 |
| Address | 30/T BOSEPARA | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||