Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09852 | Date 03/08/2023 |
| Token No | SM/22-23/11346 03/08/2023 | Serial | 010 |
| Patient Name | Miss SARITA PASWAN | Contact No | 6290461097 |
| Address | 16T SITAL SARKAR LANE | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||