Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07868 | Date 01/12/2022 |
| Token No | SM/22-23/6768 01/12/2022 | Serial | 022 |
| Patient Name | Mrs. ELINA TRIPATHI | Contact No | 6289562968 |
| Address | 306,RAM SITA LANE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||