Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10832 | Date 29/11/2023 |
| Token No | SM/24-25/15609 03/04/2024 | Serial | 035 |
| Patient Name | Mrs. NISHA KUMARI | Contact No | 9330311783 |
| Address | 14/301 RAM SITA LANE | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||