Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11394 | Date 09/04/2024 |
| Token No | SM/24-25/16144 09/05/2024 | Serial | 043 |
| Patient Name | Mrs. CHANDA YADAV | Contact No | 8427381411 |
| Address | 3 WILLAM CAREY ROAD | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||