Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12287 | Date 30/10/2024 |
| Token No | SM/24-25/19877 25/11/2024 | Serial | 023 |
| Patient Name | Mrs. SHAMA PARVEEN | Contact No | 8334025470 |
| Address | 84 DEY STREET | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||