Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05540 | Date 15/03/2022 |
| Token No | SM/21-22/2433 15/03/2022 | Serial | 011 |
| Patient Name | Mrs. ANJALI SHAWW.. | Contact No | 9339981337 |
| Address | 1/E K L GOSWAMI SARANI | Age | 37 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||