Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10694 | Date 30/10/2023 |
| Token No | SM/22-23/15556 01/04/2024 | Serial | 021 |
| Patient Name | Mrs. PRIYANKA KUMARI | Contact No | 8910982241 |
| Address | 43 bhagirathi lane | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||