Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04080 | Date 22/10/2020 |
| Token No | SM/22-23/8579 27/03/2023 | Serial | 026 |
| Patient Name | Mrs. PRIYA AGRAHARI | Contact No | 6291839121 |
| Address | 82 DEY STREET | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||