Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08111 | Date 04/01/2023 |
| Token No | SM/22-23/7361 04/01/2023 | Serial | 024 |
| Patient Name | Miss PRIYANKA PASWAN | Contact No | NOT GIVEN |
| Address | 20 BOSE PARA LANE, INTKHOLA | Age | 13 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||