Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 06369 | Date 19/07/2022 |
| Token No | SM/24-25/16186 10/05/2024 | Serial | 017 |
| Patient Name | Mrs. MALATI SHARMA | Contact No | 9331638285 |
| Address | SHIBTALA LANE | Age | 67 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||