Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09919 | Date 09/08/2023 |
| Token No | SM/22-23/11495 09/08/2023 | Serial | 013 |
| Patient Name | Mrs. KAJAL KUMARI | Contact No | 9903228004 |
| Address | 31/A B L C MILLS ROAD | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||