Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01291 | Date 20/11/2018 |
| Token No | SM/21-22/2400 14/03/2022 | Serial | 002 |
| Patient Name | Mrs. REKHA DEWAN | Contact No | 8961536660 |
| Address | A B GARDEN LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||