Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09792 | Date 27/07/2023 |
| Token No | SM/22-23/11223 27/07/2023 | Serial | 008 |
| Patient Name | Mrs. NITU PRASAD | Contact No | 8910035145 |
| Address | 106/A/2 R B SARANI | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||