Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07579 | Date 10/11/2022 |
| Token No | SM/22-23/6157 10/11/2022 | Serial | 001 |
| Patient Name | Mrs. EKTA JHA | Contact No | 810063071 |
| Address | 59 AKHRA BATI LANE | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||