Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02306 | Date 18/06/2019 |
| Token No | SM/22-23/6980 14/12/2022 | Serial | 004 |
| Patient Name | Mrs. SANJU LATA BISWAL... | Contact No | 8697088466 |
| Address | 10 K.D.B LANE,DOSTI LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||