Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07838 | Date 29/11/2022 |
| Token No | SM/22-23/10056 08/06/2023 | Serial | 016 |
| Patient Name | Mrs. REKHA SHAW | Contact No | 7450043907 |
| Address | JHAUTALA,LBS ROAD | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||