Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09773 | Date 25/07/2023 |
| Token No | SM/24-25/17024 20/06/2024 | Serial | 026 |
| Patient Name | Miss NEHA KUMARI | Contact No | 9334519731 |
| Address | 17C N L B STREET | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||