Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05098 | Date 25/11/2021 |
| Token No | SM/22-23/14101 04/01/2024 | Serial | 003 |
| Patient Name | Mrs. GAYETRI SINGH | Contact No | 7002882065 |
| Address | 1 DEY GHAT LANE | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||