Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 02591 | Date 24/07/2019 |
| Token No | SM/22-23/15325 18/03/2024 | Serial | 014 |
| Patient Name | Mrs. KALPANA SINGH | Contact No | 8961138718 |
| Address | 45 AKHRABATI LANE | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||