Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02468 | Date 17/08/2022 |
| Token No | SM/22-23/2069 17/08/2022 | Serial | 013 |
| Patient Name | Mrs. SUSHILA VERMA | Contact No | |
| Address | PRABASHNAGAR RISHRA 712249 | Age | 65 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||