Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 05214 | Date 04/01/2022 |
| Token No | SM/22-23/9827 26/05/2023 | Serial | 005 |
| Patient Name | Mrs. SHILA MALIK | Contact No | 9749661052 |
| Address | 40A/3 BHAGIRATHI LANE | Age | 62 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||