Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07147 | Date 27/09/2022 |
| Token No | SM/22-23/14548 01/02/2024 | Serial | 020 |
| Patient Name | Mrs. NITU PRASAD | Contact No | 6291622249 |
| Address | 18 BAZAR BYE LANE | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||