Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08753 | Date 11/04/2023 |
| Token No | SM/22-23/8847 11/04/2023 | Serial | 013 |
| Patient Name | Mrs. NAMITA YADAV | Contact No | NOT GIVEN |
| Address | 79B PAL BAGAN DEY STREET | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||