Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04320 | Date 13/06/2023 |
| Token No | SM/22-23/9691 17/06/2023 | Serial | 020 |
| Patient Name | Mrs. AMRITA JAISWARA | Contact No | 8276067511 |
| Address | 6 TARBAGAN S K NAGAR RISHRA M 712249 | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||