Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05377 | Date 02/02/2022 |
| Token No | SM/22-23/6764 01/12/2022 | Serial | 018 |
| Patient Name | Mrs. KAJAL BAGUI | Contact No | 9088803630 |
| Address | 53 AKHRA BATI LANE | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||