Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05274 | Date 11/01/2022 |
| Token No | SM/21-22/1858 11/01/2022 | Serial | 005 |
| Patient Name | Mrs. G ANITA | Contact No | 9330693158 |
| Address | 102 R B SARANI | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||