Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07908 | Date 08/12/2022 |
| Token No | SM/22-23/6872 08/12/2022 | Serial | 001 |
| Patient Name | Miss SUMAN KUMARI | Contact No | 9883966816 |
| Address | 22 BAZAR BYE LANE | Age | 15 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||