Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07927 | Date 12/12/2022 |
| Token No | SM/22-23/6930 12/12/2022 | Serial | 005 |
| Patient Name | Mrs. BABITA PADIARI | Contact No | 6290452540 |
| Address | 7 NO LINE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||