Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07783 | Date 23/11/2022 |
| Token No | SM/22-23/6567 23/11/2022 | Serial | 015 |
| Patient Name | Miss NANDINI SINGH | Contact No | NOT GIVEN |
| Address | TIN BAZAR | Age | 22 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||