Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 09244 | Date 05/06/2023 |
| Token No | SM/22-23/9978 05/06/2023 | Serial | 025 |
| Patient Name | Mrs. ANITA KAMLEY | Contact No | 8902279643 |
| Address | 26/A BLC BYE LANE | Age | 63 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||