Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10315 | Date 05/09/2023 |
| Token No | SM/22-23/12291 05/09/2023 | Serial | 023 |
| Patient Name | Miss PRITI CHOUDHARY | Contact No | 8910211259 |
| Address | PACHU BAZAR | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||