Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 09368 | Date 15/06/2023 |
| Token No | SM/22-23/10928 17/07/2023 | Serial | 011 |
| Patient Name | Mrs. K SARDA | Contact No | 8697632079 |
| Address | 70/A/2/108 KHATIR BAZAR | Age | 44 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||