Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11059 | Date 24/01/2024 |
| Token No | SM/24-25/16143 09/05/2024 | Serial | 042 |
| Patient Name | Mrs. KUMARI KOMAL SINGH | Contact No | 6289891445 |
| Address | 55 ROYLAND ROAD | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||