Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 05233 | Date 25/09/2023 |
| Token No | SM/25-26/20672 27/08/2026 | Serial | 037 |
| Patient Name | Mrs. ISHA PATEL | Contact No | 6203348609 |
| Address | 402 4TH FLOOR SWASTIK TOWER SERAMPORE 712203 | Age | 24 Years,2 Months,22 Days Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||