Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10655 | Date 05/10/2023 |
| Token No | SM/24-25/19785 20/11/2024 | Serial | 016 |
| Patient Name | Mrs. NITU KUMARI | Contact No | 9903605362 |
| Address | RAMSHITA LANE | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||