Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11247 | Date 06/03/2024 |
| Token No | SM/22-23/15096 06/03/2024 | Serial | 038 |
| Patient Name | Mrs. ANJALI PASWAN | Contact No | 8777499120 |
| Address | 4 HOSPITAL LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||