Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07434 | Date 28/10/2022 |
| Token No | SM/22-23/5871 28/10/2022 | Serial | 022 |
| Patient Name | Mrs. JYOTI PASWAN. | Contact No | 9110910857 |
| Address | 20 A T C LANE | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||