Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09809 | Date 31/07/2023 |
| Token No | SM/22-23/11255 31/07/2023 | Serial | 001 |
| Patient Name | Mrs. VANDANA JAISWAL | Contact No | 8199591560 |
| Address | 7 DEY STREET | Age | 53 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||