Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10143 | Date 25/08/2023 |
| Token No | SM/22-23/11980 25/08/2023 | Serial | 022 |
| Patient Name | Mrs. GITA SAROJ | Contact No | NOT GIVEN |
| Address | PACHU BAZAR | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||