Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10740 | Date 06/11/2023 |
| Token No | SM/22-23/13194 06/11/2023 | Serial | 017 |
| Patient Name | Mrs. SIKHA SINGH | Contact No | 9883845385 |
| Address | 32 BARAL BAGAN | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||