Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07340 | Date 19/10/2022 |
| Token No | SM/22-23/5682 19/10/2022 | Serial | 019 |
| Patient Name | Mrs. RUPA AGARWAL | Contact No | 9331363147 |
| Address | 19 BAZAR BYE LANE | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||