Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08198 | Date 31/01/2023 |
| Token No | SM/22-23/7572 31/01/2023 | Serial | 019 |
| Patient Name | Mrs. DAULI DUBEY | Contact No | 7977494062 |
| Address | INDIA JUTE MILL | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||