Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05942 | Date 26/05/2022 |
| Token No | SM/24-25/16001 27/04/2024 | Serial | 007 |
| Patient Name | Mrs. GITA PRASAD | Contact No | 7278628863 |
| Address | 10 DOSTI LANE | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||