Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11578 | Date 29/05/2024 |
| Token No | SM/24-25/16607 31/05/2024 | Serial | 008 |
| Patient Name | Mrs. SHIBANI SINGH | Contact No | 6205757474 |
| Address | MAHESH BONGO LAKKHI | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||