Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05084 | Date 24/11/2021 |
| Token No | SM/21-22/1464 24/11/2021 | Serial | 013 |
| Patient Name | Mrs. LALITA DEVI | Contact No | 9007785686 |
| Address | 57/60 RAILAND ROAD | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||