Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07059 | Date 16/09/2022 |
| Token No | SM/22-23/5160 16/09/2022 | Serial | 003 |
| Patient Name | Miss NEHA RAJBHAR | Contact No | 9330888047 |
| Address | 27 BAZAR BYE LANE | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||