Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 03767 | Date 16/02/2023 |
| Token No | SM/22-23/17063 30/12/2023 | Serial | 015 |
| Patient Name | Mrs. SIMA SINGH | Contact No | 6290186340 |
| Address | 704 S K NAGAR PRABASHNAGAR RISHRA M 712249 | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||