Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05363 | Date 31/01/2022 |
| Token No | SM/24-25/16491 25/05/2024 | Serial | 012 |
| Patient Name | Mrs. SHIPRA KUMAR | Contact No | 9051295270 |
| Address | BSNL OFFICE WORKER | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||