Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05550 | Date 16/03/2022 |
| Token No | SM/21-22/2446 16/03/2022 | Serial | 011 |
| Patient Name | Mrs. SONI DEVI | Contact No | 9330592247 |
| Address | 42 L B S ROAD | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||