Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11551 | Date 21/05/2024 |
| Token No | SM/24-25/16363 21/05/2024 | Serial | 002 |
| Patient Name | Mrs. REKHA SINGH | Contact No | 8620845586 |
| Address | 3 BAZAR BYE LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||