Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03117 | Date 25/09/2019 |
| Token No | SM/22-23/9807 24/05/2023 | Serial | 009 |
| Patient Name | Mrs. MINU SHARMA | Contact No | 6290122243 |
| Address | INDIA JUTE MILL | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||