Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 06390 | Date 19/07/2022 |
| Token No | SM/22-23/3913 19/07/2022 | Serial | 036 |
| Patient Name | Mrs. KIRAN JAHAR | Contact No | 9330211176 |
| Address | 56 KHAS BAGAN LANE | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||