Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07134 | Date 26/09/2022 |
| Token No | SM/22-23/5310 26/09/2022 | Serial | 007 |
| Patient Name | Mrs. PUJA AGARWAL | Contact No | 9674325895 |
| Address | BOSEPARA | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||