Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10994 | Date 27/12/2023 |
| Token No | SM/22-23/15202 11/03/2024 | Serial | 053 |
| Patient Name | Mrs. RINA YADAV | Contact No | 8274035914 |
| Address | 77C/2 J.N. LAHIRI ROAD | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||