Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05952 | Date 26/05/2022 |
| Token No | SM/22-23/3133 26/05/2022 | Serial | 019 |
| Patient Name | Mrs. BABITA SINGH | Contact No | 6291310427 |
| Address | JAGANNATH GHAT LANE, CHUCHURA | Age | 33 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||