Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09402 | Date 19/06/2023 |
| Token No | SM/22-23/10321 19/06/2023 | Serial | 008 |
| Patient Name | Mrs. RINA SINGH | Contact No | 8585877636 |
| Address | 13 L B S ROAD | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||