Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05492 | Date 07/03/2022 |
| Token No | SM/22-23/7143 23/12/2022 | Serial | 012 |
| Patient Name | Mrs. LACHHMI BISWAL | Contact No | 9088659303 |
| Address | 10 DOSTI LANE | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||