Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05866 | Date 17/05/2022 |
| Token No | SM/22-23/3009 18/05/2022 | Serial | 008 |
| Patient Name | Mrs. KHUSBU SAHANI | Contact No | 7980264972 |
| Address | 43 PACHU GOPAL BHADURI SARANI | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||