Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07184 | Date 10/10/2022 |
| Token No | SM/22-23/5397 10/10/2022 | Serial | 030 |
| Patient Name | Miss SHIBANGI SHARMA | Contact No | 9123988255 |
| Address | 29 SHIBTALA LANE | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||