Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10793 | Date 22/11/2023 |
| Token No | SM/22-23/14937 26/02/2024 | Serial | 006 |
| Patient Name | Mrs. PUJA SHARMA | Contact No | 9163018205 |
| Address | 5/A RAJ MOHON GOSWAMI LANE | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||