Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05886 | Date 23/05/2022 |
| Token No | SM/22-23/3040 23/05/2022 | Serial | 001 |
| Patient Name | Miss JUHI SINGH | Contact No | 6289944188 |
| Address | BARAL BAGAN | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||