Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07472 | Date 01/11/2022 |
| Token No | SM/22-23/5930 01/11/2022 | Serial | 022 |
| Patient Name | Miss ARTI KUMARI | Contact No | 9804646266 |
| Address | RAM SITA LANE | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||