Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06989 | Date 08/09/2022 |
| Token No | SM/22-23/4998 08/09/2022 | Serial | 017 |
| Patient Name | Mrs. ASHA KUMAR | Contact No | 7439429078 |
| Address | 15 KUMAR PATTY LANE | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||