Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10959 | Date 14/12/2023 |
| Token No | SM/24-25/16135 09/05/2024 | Serial | 034 |
| Patient Name | Mrs. MANISHA KUMARI | Contact No | 9007500355 |
| Address | 55 NO ROY LAND ROAD | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||