Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10209 | Date 29/08/2023 |
| Token No | SM/22-23/12085 29/08/2023 | Serial | 018 |
| Patient Name | Mrs. MADHU JHA | Contact No | 9330948455 |
| Address | 104 RB SARONI | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||