Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09222 | Date 02/06/2023 |
| Token No | SM/22-23/9933 02/06/2023 | Serial | 014 |
| Patient Name | Mrs. SUNITA BISWAL | Contact No | 9681216008 |
| Address | 9 NO. INDIA JUTE MILL | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||