Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08157 | Date 11/01/2023 |
| Token No | SM/22-23/7465 11/01/2023 | Serial | 013 |
| Patient Name | Mrs. JYOTI PASWAN. | Contact No | NOT GIVEN |
| Address | MAHESH POST OFFICE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||