Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10766 | Date 09/11/2023 |
| Token No | SM/22-23/13257 09/11/2023 | Serial | 006 |
| Patient Name | Mrs. PRATIBHA SHARMA | Contact No | 8981257641 |
| Address | 4 BUROBIBI LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||