Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05429 | Date 16/02/2022 |
| Token No | SM/21-22/2157 16/02/2022 | Serial | 002 |
| Patient Name | Mrs. NEHA PARVEEN | Contact No | 7980097378 |
| Address | 38 R B SARANI | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||