Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06708 | Date 11/08/2022 |
| Token No | SM/22-23/4478 11/08/2022 | Serial | 014 |
| Patient Name | Mrs. ROSHNI MISHRA | Contact No | NOT GIVEN |
| Address | BANGALAXMI MILLS | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||