Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12419 | Date 03/12/2024 |
| Token No | SM/24-25/20025 03/12/2024 | Serial | 002 |
| Patient Name | Mrs. PUJA SINGH | Contact No | 7596832156 |
| Address | 90/C DEY STREET | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||