Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05663 | Date 05/04/2022 |
| Token No | SM/22-23/2638 05/04/2022 | Serial | 003 |
| Patient Name | Mrs. PUJA SINGH.. | Contact No | 7044759374 |
| Address | 1 DEY GHAT LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||