Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 11166 | Date 20/02/2024 |
| Token No | SM/24-25/18557 03/09/2024 | Serial | 005 |
| Patient Name | Mrs. GURIYA SINGH | Contact No | 6291241455 |
| Address | 36 LBS ROAD | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||