Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12067 | Date 05/09/2024 |
| Token No | SM/24-25/20116 10/12/2024 | Serial | 002 |
| Patient Name | Mrs. GUDIYA KUMARI | Contact No | 8789053441 |
| Address | 60 NO RAY LAND ROAD | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||