Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11587 | Date 30/05/2024 |
| Token No | SM/24-25/19271 08/10/2024 | Serial | 010 |
| Patient Name | Mrs. MAMTA THAKUR | Contact No | 9836989599 |
| Address | 3 NO PITAMBER DEY LANE | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||