Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06490 | Date 26/07/2022 |
| Token No | SM/22-23/4070 26/07/2022 | Serial | 020 |
| Patient Name | Mrs. SWAPNA DEVI | Contact No | 7635022005 |
| Address | 20 A T C LANE, NICHU BASTI | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||