Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06760 | Date 17/08/2022 |
| Token No | SM/22-23/4579 17/08/2022 | Serial | 011 |
| Patient Name | Mrs. MANJU DALAL | Contact No | 8100528794 |
| Address | 223/G G T ROAD | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||