Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05088 | Date 24/11/2021 |
| Token No | SM/21-22/1468 24/11/2021 | Serial | 017 |
| Patient Name | Mrs. MAMTA DEVI... | Contact No | 877751179 |
| Address | 126 R B SARANI | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||