Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05319 | Date 18/01/2022 |
| Token No | SM/21-22/1927 18/01/2022 | Serial | 007 |
| Patient Name | Mrs. RESHMI DEWAN | Contact No | 6291200477 |
| Address | 8/A A B GARDEN LANE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||