Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11594 | Date 03/06/2024 |
| Token No | SM/24-25/16617 03/06/2024 | Serial | 004 |
| Patient Name | Mrs. PRIYANKA MALIK | Contact No | NOT GIVEN |
| Address | Age | 29 YRS Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||