Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05612 | Date 31/03/2022 |
| Token No | SM/21-22/2561 31/03/2022 | Serial | 016 |
| Patient Name | Mrs. LOVELY SINGH | Contact No | 8910317146 |
| Address | 25 BARAL BAGAN | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||