Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 06951 | Date 06/09/2022 |
| Token No | SM/22-23/4949 06/09/2022 | Serial | 064 |
| Patient Name | Miss SOMA SINGH | Contact No | 8777898099 |
| Address | 68 THAKUR BATI STREET | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||