Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06190 | Date 22/06/2022 |
| Token No | SM/22-23/3551 22/06/2022 | Serial | 014 |
| Patient Name | Mrs. DURGA RAJBHAR | Contact No | 9088851006 |
| Address | TIN BAZAR LAL BAHADUR SASTRI RD | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||