Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 07876 | Date 02/12/2022 |
| Token No | SM/22-23/6789 02/12/2022 | Serial | 018 |
| Patient Name | Miss HENA PURAKAIT | Contact No | 9831382469 |
| Address | 38 JANNAGAR ROAD | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||