Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11772 | Date 10/07/2024 |
| Token No | SM/24-25/17978 07/08/2024 | Serial | 021 |
| Patient Name | Mrs. SARITA KUMARI | Contact No | 8809884771 |
| Address | 55 RAILAND ROAD | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||