Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07540 | Date 07/11/2022 |
| Token No | SM/22-23/6164 10/11/2022 | Serial | 008 |
| Patient Name | Mrs. JAYA SINGH | Contact No | 9433820909 |
| Address | 17 PAL BAGAN | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||