Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09030 | Date 12/05/2023 |
| Token No | SM/22-23/9533 12/05/2023 | Serial | 021 |
| Patient Name | Mrs. TUNI SINGH | Contact No | 9674895002 |
| Address | POTUA PARA LANE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||