Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10473 | Date 22/09/2023 |
| Token No | SM/22-23/12607 22/09/2023 | Serial | 006 |
| Patient Name | Mrs. MADHU KUMARI | Contact No | 7278357120 |
| Address | 121 INDIA JUTE MILL | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||