Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07091 | Date 20/09/2022 |
| Token No | SM/22-23/5213 20/09/2022 | Serial | 005 |
| Patient Name | Mrs. SRISHTI KOIRI | Contact No | 9707999707 |
| Address | 14 K D B LANE | Age | 17 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||