Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06627 | Date 04/08/2022 |
| Token No | SM/22-23/4319 04/08/2022 | Serial | 033 |
| Patient Name | Mrs. LAKKHI BHAR | Contact No | |
| Address | 27 MADAM BAGAN | Age | 39 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||