Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 02885 | Date 14/10/2022 |
| Token No | SM/22-23/3856 29/10/2022 | Serial | 030 |
| Patient Name | Mrs. NIRMA KUMARI SINGH | Contact No | 9330814947 |
| Address | 6 NO PARSING ROAD BATA GALI | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||