Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07307 | Date 18/10/2022 |
| Token No | SM/22-23/5626 18/10/2022 | Serial | 011 |
| Patient Name | Mrs. PRATIBHA PASWAN | Contact No | 6289563021 |
| Address | 26 BOSE PARA LANE | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||