Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 07272 | Date 17/10/2022 |
| Token No | SM/22-23/5559 17/10/2022 | Serial | 013 |
| Patient Name | Mrs. SHARMILA GUPTA | Contact No | 9331287954 |
| Address | 12/A RABINDRA BHAWAN | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||