Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03039 | Date 13/09/2019 |
| Token No | SM/22-23/10786 10/07/2023 | Serial | 038 |
| Patient Name | Mrs. SUMITA PAUL | Contact No | 9007590632 |
| Address | MAHESH COLONY | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||