Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03589 | Date 09/12/2019 |
| Token No | SM/24-25/20373 23/12/2024 | Serial | 041 |
| Patient Name | Mrs. NIRMALA TIWARI | Contact No | 9875688263 |
| Address | 77 DEY STREET | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 79 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||