Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09071 | Date 16/05/2023 |
| Token No | SM/22-23/9601 16/05/2023 | Serial | 015 |
| Patient Name | Mrs. JULI MISHRA | Contact No | 6290608130 |
| Address | 8 LANE SARADA MANI PARK | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||