Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07548 | Date 07/11/2022 |
| Token No | SM/22-23/6080 07/11/2022 | Serial | 030 |
| Patient Name | Miss PUJA RAJBHAR. | Contact No | 9088392735 |
| Address | THAKUR BATI STREET | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||