Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05182 | Date 22/12/2021 |
| Token No | SM/22-23/3592 24/06/2022 | Serial | 012 |
| Patient Name | Mrs. SUSMITA MALIK | Contact No | 8910041968 |
| Address | 40A/3/B BHAGIRATHI LANE | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||