Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04427 | Date 01/06/2021 |
| Token No | SM/21-22/326 01/06/2021 | Serial | 015 |
| Patient Name | Mrs. NISHA GUPTA. | Contact No | 8100352992 |
| Address | 14B DEY STREET | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||