Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01603 | Date 20/05/2022 |
| Token No | SM/22-23/15 20/05/2022 | Serial | 013 |
| Patient Name | Mrs. PUJA SHARMA | Contact No | 7596992943 |
| Address | LALKOTHI RISHRA | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||