Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08437 | Date 23/02/2023 |
| Token No | SM/22-23/9362 03/05/2023 | Serial | 025 |
| Patient Name | Mrs. PUJA YADAV | Contact No | 7439368986 |
| Address | 16 AKHRA BATI LANE | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||