Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02307 | Date 18/06/2019 |
| Token No | SM/22-23/14027 29/12/2023 | Serial | 009 |
| Patient Name | Mrs. GAYETRI SINGH | Contact No | NOT GIVEN |
| Address | 1 DEY GHAT LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||