Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03301 | Date 01/12/2022 |
| Token No | SM/22-23/7539 14/03/2023 | Serial | 023 |
| Patient Name | Mrs. MUNNI DEVI | Contact No | 6291496489 |
| Address | 153 JAYSHREE TEXTILES RISHRA M 712249 | Age | 53 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||