Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09848 | Date 03/08/2023 |
| Token No | SM/24-25/16955 19/06/2024 | Serial | 009 |
| Patient Name | Mrs. SARASWATI BISWAL | Contact No | 8961611285 |
| Address | 8/394 RAM SITA LANE | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||