Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12186 | Date 01/10/2024 |
| Token No | SM/24-25/19136 01/10/2024 | Serial | 002 |
| Patient Name | Mrs. LALITA YADAV | Contact No | 8240721593 |
| Address | BAZAR BYE LANE | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||