Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08312 | Date 09/02/2023 |
| Token No | SM/22-23/7783 09/02/2023 | Serial | 025 |
| Patient Name | Mrs. KANCHAN YADAV | Contact No | 7307315618 |
| Address | 5 RAJ MOHON GOSWAMI LANE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||