Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10749 | Date 06/11/2023 |
| Token No | SM/22-23/13209 06/11/2023 | Serial | 032 |
| Patient Name | Mrs. NILAM GUPTA | Contact No | 7003230374 |
| Address | 103 R B SARANI | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||