Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07775 | Date 23/11/2022 |
| Token No | SM/22-23/6558 23/11/2022 | Serial | 006 |
| Patient Name | Mrs. SUSHILA RAJBHAR | Contact No | 8479051663 |
| Address | 13 LALBAHADUR SASHTRI ROAD | Age | 32 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||