Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 04585 | Date 09/07/2021 |
| Token No | SM/21-22/584 09/07/2021 | Serial | 008 |
| Patient Name | Mrs. SARASWATI BISWAL... | Contact No | 9903087394 |
| Address | RAM SITA LINE | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||