Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10837 | Date 29/11/2023 |
| Token No | SM/24-25/19096 30/09/2024 | Serial | 020 |
| Patient Name | Mrs. PRITI PASWAN | Contact No | 9163331594 |
| Address | 17 HOSPITAL LANE | Age | 21 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||