Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06208 | Date 24/06/2022 |
| Token No | SM/22-23/3596 24/06/2022 | Serial | 016 |
| Patient Name | Miss JYOTI SINGH.. | Contact No | 8303014827 |
| Address | 62/A RAILAND ROAD | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||