Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07082 | Date 19/09/2022 |
| Token No | SM/22-23/5193 19/09/2022 | Serial | 012 |
| Patient Name | Miss KIRAN RAJBHAR. | Contact No | 6291465140 |
| Address | 40 L B S ROAD | Age | 15 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||