Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07256 | Date 14/10/2022 |
| Token No | SM/22-23/5522 14/10/2022 | Serial | 032 |
| Patient Name | Miss LAKKHI BISWAL | Contact No | 9330958686 |
| Address | 6/A DOSTI LANE | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||