Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06389 | Date 19/07/2022 |
| Token No | SM/22-23/3912 19/07/2022 | Serial | 035 |
| Patient Name | Mrs. ANITA PASWAN | Contact No | 8910669577 |
| Address | 26 BOSEPARA LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||