Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06542 | Date 28/07/2022 |
| Token No | SM/22-23/4166 28/07/2022 | Serial | 028 |
| Patient Name | Mrs. PARUL NASKAR | Contact No | NOT GIVEN |
| Address | JOLKOL STAFF | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||