Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11733 | Date 02/07/2024 |
| Token No | SM/24-25/17270 02/07/2024 | Serial | 003 |
| Patient Name | Mrs. NIRAB SHARMA | Contact No | 7980825359 |
| Address | 15/B A.B. GARDEN LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||