Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06910 | Date 05/09/2022 |
| Token No | SM/22-23/4863 05/09/2022 | Serial | 016 |
| Patient Name | Mrs. AMITA SHAW | Contact No | 8481947521 |
| Address | 14/A P G B SARANI | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||