Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09766 | Date 25/07/2023 |
| Token No | SM/22-23/11178 25/07/2023 | Serial | 008 |
| Patient Name | Mrs. NISHA KUMARI | Contact No | 9163372021 |
| Address | 53 DEY STREET | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||