Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01995 | Date 22/06/2022 |
| Token No | SM/22-23/720 22/06/2022 | Serial | 020 |
| Patient Name | Mrs. PRIYA KUMARI | Contact No | 6291962113 |
| Address | 881/12 KRISHNANAGAR RISHRA M | Age | 9 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 25 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||