Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08891 | Date 27/04/2023 |
| Token No | SM/22-23/10778 10/07/2023 | Serial | 030 |
| Patient Name | Mrs. MANISHA SINGH | Contact No | 6291132408 |
| Address | 55 ROYLAND ROAD | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||