Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06210 | Date 24/06/2022 |
| Token No | SM/22-23/8954 18/04/2023 | Serial | 015 |
| Patient Name | Miss SWAPNA SINGH | Contact No | 7890240150 |
| Address | 57/71 RAILAND ROAD | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||