Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09441 | Date 21/06/2023 |
| Token No | SM/22-23/10382 21/06/2023 | Serial | 028 |
| Patient Name | Mrs. EKTA SHAW | Contact No | 9123912681 |
| Address | 32 RAIL QUARTER | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||