Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07502 | Date 03/11/2022 |
| Token No | SM/22-23/5992 03/11/2022 | Serial | 020 |
| Patient Name | Miss LACHHMI SHA | Contact No | 9477459215 |
| Address | 27/B BAZAR BYE LANE | Age | 3 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||