Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06300 | Date 06/07/2022 |
| Token No | SM/22-23/3773 06/07/2022 | Serial | 017 |
| Patient Name | Mrs. SHAKLI YADAV | Contact No | 7890416656 |
| Address | 23 BORAL BAGAN LANE | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||