Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08880 | Date 26/04/2023 |
| Token No | SM/22-23/9189 26/04/2023 | Serial | 019 |
| Patient Name | Mrs. NAAJ PARVEEN | Contact No | 9903027552 |
| Address | 60/R R K ROAD | Age | 29 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||