Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07155 | Date 27/09/2022 |
| Token No | SM/22-23/5346 27/09/2022 | Serial | 020 |
| Patient Name | Mrs. MANITA YADAV | Contact No | 6291518621 |
| Address | 29 BAZAR BYE LANE | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||