Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03962 | Date 20/03/2023 |
| Token No | SM/22-23/7674 20/03/2023 | Serial | 011 |
| Patient Name | Mrs. JAMUNA DEVI | Contact No | 9007141919 |
| Address | 591/D S K NAGAR RISHRA M PRAVASHNAGAR 712249 | Age | 66 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||