Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10309 | Date 05/09/2023 |
| Token No | SM/22-23/12273 05/09/2023 | Serial | 005 |
| Patient Name | Mrs. JYOTI PASWAN | Contact No | 8581868947 |
| Address | 16 N N COLONY | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||