Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09420 | Date 19/06/2023 |
| Token No | SM/22-23/10351 19/06/2023 | Serial | 038 |
| Patient Name | Miss KAJAL KURMI | Contact No | 6291160029 |
| Address | 40 LBS ROAD | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||