Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12236 | Date 15/10/2024 |
| Token No | SM/24-25/19309 15/10/2024 | Serial | 007 |
| Patient Name | Miss JYOTI KUMARI THAKUR | Contact No | 9875450937 |
| Address | DEY STREET | Age | 19 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||