Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10818 | Date 23/11/2023 |
| Token No | SM/22-23/13374 23/11/2023 | Serial | 015 |
| Patient Name | Mrs. SABITA PASWAN | Contact No | 9488586210 |
| Address | DEY GHAT LANE | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||