Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09594 | Date 12/07/2023 |
| Token No | SM/22-23/10807 12/07/2023 | Serial | 013 |
| Patient Name | Mrs. NIRMALA SINGH | Contact No | 7003307064 |
| Address | 54 DEY STREET | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||