Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06936 | Date 06/09/2022 |
| Token No | SM/22-23/4909 06/09/2022 | Serial | 024 |
| Patient Name | Mrs. PRITY OJHA | Contact No | 7980910432 |
| Address | TIN BAZAR | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||