Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 01241 | Date 31/10/2018 |
| Token No | SM/22-23/5701 21/10/2022 | Serial | 001 |
| Patient Name | Mrs. SIPRA DEY | Contact No | 9830714003 |
| Address | MAHESH COLONY | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||