Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04410 | Date 24/05/2021 |
| Token No | SM/24-25/19071 28/09/2024 | Serial | 024 |
| Patient Name | Mrs. SUNAINA JAISWAL | Contact No | NOT GIVEN |
| Address | DEY GHAT LANE | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||