Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08172 | Date 18/01/2023 |
| Token No | SM/22-23/7524 18/01/2023 | Serial | 005 |
| Patient Name | Mrs. ANTARA SINGH | Contact No | 9330784884 |
| Address | 54 LBS ROAD | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||