Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05640 | Date 04/04/2022 |
| Token No | SM/22-23/2607 04/04/2022 | Serial | 013 |
| Patient Name | Mrs. ARCHANA SINGH | Contact No | 6289944188 |
| Address | PACHU BAZAR | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||