Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11784 | Date 12/07/2024 |
| Token No | SM/24-25/17502 12/07/2024 | Serial | 003 |
| Patient Name | Mrs. ARTI SINGH | Contact No | 9748052531 |
| Address | 1 NO DEY GHAT LANE | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||