Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09581 | Date 10/07/2023 |
| Token No | SM/22-23/10761 10/07/2023 | Serial | 013 |
| Patient Name | Mrs. MAMATA SINGH | Contact No | 9875409581 |
| Address | 23 N L B STREET | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||