Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01598 | Date 20/05/2022 |
| Token No | SM/22-23/7639 17/03/2023 | Serial | 026 |
| Patient Name | Mrs. UMA SHAW | Contact No | 9330460507 |
| Address | NAYA BASTI RISHRA | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||