Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07191 | Date 11/10/2022 |
| Token No | SM/22-23/5406 11/10/2022 | Serial | 006 |
| Patient Name | Miss NEHA KUMARI | Contact No | 8013392768 |
| Address | 126 R B SARANI | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||