Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09796 | Date 27/07/2023 |
| Token No | SM/22-23/11234 27/07/2023 | Serial | 019 |
| Patient Name | Miss ANKITA JAISWAL | Contact No | 7239625180 |
| Address | 2 LMB STREET | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||