Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05514 | Date 09/03/2022 |
| Token No | SM/21-22/2373 09/03/2022 | Serial | 001 |
| Patient Name | Mrs. PUJA KUMARI | Contact No | 9163372021 |
| Address | 53 DEY ST | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||