Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 04036 | Date 10/04/2023 |
| Token No | SM/22-23/8098 10/04/2023 | Serial | 032 |
| Patient Name | Mrs. SONAM SINGH | Contact No | 9433535914 |
| Address | TREENAYANI APARTMENT 45/6 G T ROAD SERAMPORE 712203 | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||