Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09729 | Date 21/07/2023 |
| Token No | SM/22-23/11114 21/07/2023 | Serial | 017 |
| Patient Name | Mrs. NITU PANDEY | Contact No | 7003932964 |
| Address | 51 S P MUKHERJEE SARANI | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||