Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06987 | Date 08/09/2022 |
| Token No | SM/22-23/4996 08/09/2022 | Serial | 015 |
| Patient Name | Mrs. MIRA OJHA | Contact No | NOT GIVEN |
| Address | TIN BAZAR | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||