Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08203 | Date 31/01/2023 |
| Token No | SM/22-23/7585 31/01/2023 | Serial | 032 |
| Patient Name | Mrs. LAXMI HARI | Contact No | 7318799318 |
| Address | NEHERU NAGAR COLONY | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||