Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09763 | Date 25/07/2023 |
| Token No | SM/24-25/20088 09/12/2024 | Serial | 007 |
| Patient Name | Mrs. PUJA KUMARI.. | Contact No | 9163372021 |
| Address | 53 DEY STREET | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||