Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 01924 | Date 15/06/2022 |
| Token No | SM/22-23/1089 04/07/2022 | Serial | 056 |
| Patient Name | Mrs. FULA DEVI | Contact No | 7450956328 |
| Address | 694 S K NAGAR RISHRA PRABASHNAGAR 712249 | Age | 59 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||