Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07149 | Date 27/09/2022 |
| Token No | SM/22-23/5339 27/09/2022 | Serial | 013 |
| Patient Name | Mrs. NEHA SINGH | Contact No | 8478962805 |
| Address | 2 BAZAR BYE LANE | Age | 29 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||