Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07351 | Date 21/10/2022 |
| Token No | SM/22-23/5707 21/10/2022 | Serial | 007 |
| Patient Name | Miss NANINA PASWAN | Contact No | 6290986675 |
| Address | 16/D SITAL SARKAR LANE | Age | 16 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||