Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 12179 | Date 30/09/2024 |
| Token No | SM/24-25/19153 01/10/2024 | Serial | 019 |
| Patient Name | Mrs. NEETU SINGH | Contact No | 6290089721 |
| Address | 70/A/2/R KHATIR BAZAR LANE | Age | 37YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||