Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05869 | Date 18/05/2022 |
| Token No | SM/22-23/3004 18/05/2022 | Serial | 003 |
| Patient Name | Mrs. NIRMALA SHARMA | Contact No | 9231813569 |
| Address | 4 BURO BIBI LANE | Age | 64 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||