Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06915 | Date 05/09/2022 |
| Token No | SM/22-23/4873 05/09/2022 | Serial | 026 |
| Patient Name | Mrs. ARATI RAJBHAR | Contact No | 9330281060 |
| Address | 3 G T ROAD | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||