Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06006 | Date 07/06/2022 |
| Token No | SM/22-23/5623 18/10/2022 | Serial | 008 |
| Patient Name | Mrs. NEHA THAKUR | Contact No | 8249964900 |
| Address | 113 RISHI BANKIM SARANI | Age | 28YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||