Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06908 | Date 05/09/2022 |
| Token No | SM/22-23/4860 05/09/2022 | Serial | 013 |
| Patient Name | Mrs. NANDINI KUMARI PRASAD | Contact No | 9163685372 |
| Address | 48/D PACHIUGOPAL BHADURI SARANI | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||