Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07058 | Date 16/09/2022 |
| Token No | SM/22-23/5159 16/09/2022 | Serial | 002 |
| Patient Name | Mrs. SAILA PASWAN | Contact No | NOT GIVEN |
| Address | BOSE PARA LANE | Age | 52 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||