Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12049 | Date 03/09/2024 |
| Token No | SM/24-25/18558 03/09/2024 | Serial | 006 |
| Patient Name | Mrs. PRABHAWATI SINGH | Contact No | 6291241455 |
| Address | 36 LBS ROAD | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||