Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10506 | Date 25/09/2023 |
| Token No | SM/24-25/18369 24/08/2024 | Serial | 009 |
| Patient Name | Miss PUSHPA KUMARI | Contact No | 9330878480 |
| Address | 5 DOSTI LANE | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||