Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02770 | Date 24/09/2022 |
| Token No | SM/22-23/3001 24/09/2022 | Serial | 010 |
| Patient Name | Mrs. SWAPNA SINGH | Contact No | |
| Address | PARAMBUA | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||