Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01821 | Date 27/03/2019 |
| Token No | SM/24-25/17130 25/06/2024 | Serial | 018 |
| Patient Name | Mrs. REBA PAUL | Contact No | 8420358923 |
| Address | 54 A.B. GARDEN LANE | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||