Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 06952 | Date 06/09/2022 |
| Token No | SM/24-25/18534 02/09/2024 | Serial | 015 |
| Patient Name | Mrs. MINA AICH | Contact No | 8007894569 |
| Address | 365 MAHESH COLONY | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||