Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09446 | Date 21/06/2023 |
| Token No | SM/22-23/10388 21/06/2023 | Serial | 034 |
| Patient Name | Mrs. KABITA KUMARI SAH | Contact No | 8274884253 |
| Address | 6 RAM SITA LANE | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||