Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07776 | Date 23/11/2022 |
| Token No | SM/22-23/6559 23/11/2022 | Serial | 007 |
| Patient Name | Mrs. MALA RAJBHAR | Contact No | 8479051663 |
| Address | 13 LBS ROAD | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||