Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05892 | Date 23/05/2022 |
| Token No | SM/22-23/3046 23/05/2022 | Serial | 007 |
| Patient Name | Mrs. USHA PASWAN | Contact No | 8420925527 |
| Address | 20 BOSEPARA | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||