Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12145 | Date 25/09/2024 |
| Token No | SM/24-25/19035 26/09/2024 | Serial | 017 |
| Patient Name | Mrs. PRIYA KUMARI | Contact No | 8583947200 |
| Address | 8/387 COCKRAIN ROAD(1ST CHEKUP) | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||