Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10709 | Date 01/11/2023 |
| Token No | SM/22-23/13124 01/11/2023 | Serial | 011 |
| Patient Name | Mrs. RAJNI BISWAL | Contact No | 7980650914 |
| Address | 9 NO. LINE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||