Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04804 | Date 26/08/2021 |
| Token No | SM/21-22/948 26/08/2021 | Serial | 013 |
| Patient Name | Mrs. KHUSBU KUMARI... | Contact No | 9696488579 |
| Address | 62 RAILAND ROAD | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||