Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06920 | Date 06/09/2022 |
| Token No | SM/22-23/4886 06/09/2022 | Serial | 001 |
| Patient Name | Mrs. RASHMI KUMARI PRASAD | Contact No | 8777584619 |
| Address | 124/D/1 G T ROAD | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||