Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07011 | Date 09/09/2022 |
| Token No | SM/22-23/5045 09/09/2022 | Serial | 026 |
| Patient Name | Mrs. PUJA PASWAN (07011) | Contact No | 8420589323 |
| Address | 16K/1 SITAL SARKAR LANE | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||