Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06642 | Date 05/08/2022 |
| Token No | SM/22-23/14501 31/01/2024 | Serial | 020 |
| Patient Name | Mrs. USHA GUPTA | Contact No | NOT GIVEN |
| Address | 96 R B SARANI | Age | 46 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||