Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 03292 | Date 24/10/2019 |
| Token No | SM/22-23/6220 11/11/2022 | Serial | 025 |
| Patient Name | Mrs. KAJAL NATH | Contact No | 8240001865 |
| Address | 42 G T ROAD | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||