Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 06108 | Date 15/06/2022 |
| Token No | SM/25-26/899 19/06/2025 | Serial | 006 |
| Patient Name | Mrs. K SHARDA | Contact No | 8697632079 |
| Address | 17/A/2 108 KHATIR BAZAR LANE | Age | 47 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||