Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06789 | Date 22/08/2022 |
| Token No | SM/22-23/4628 22/08/2022 | Serial | 016 |
| Patient Name | Mrs. BILKESH RANI | Contact No | 8777041593 |
| Address | 18 PARSHI LANE | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||