Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08787 | Date 21/04/2023 |
| Token No | SM/22-23/8995 21/04/2023 | Serial | 015 |
| Patient Name | Mrs. AMRITA PASWAN | Contact No | 7278357120 |
| Address | 121 R B SARANI | Age | 28 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||