Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11505 | Date 09/05/2024 |
| Token No | SM/24-25/16215 13/05/2024 | Serial | 021 |
| Patient Name | Mrs. SWEETY SHAW | Contact No | 9875602448 |
| Address | 10/D RAILWAY QUARTER | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||