Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09194 | Date 29/05/2023 |
| Token No | SM/22-23/9872 29/05/2023 | Serial | 019 |
| Patient Name | Mrs. PRABHAWATI YADAV | Contact No | NOT GIVEN |
| Address | TINBAZAR, 8 LBS ROAD | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||