Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09393 | Date 16/06/2023 |
| Token No | SM/22-23/10298 16/06/2023 | Serial | 034 |
| Patient Name | Mrs. MUNNI DEVI | Contact No | 8479961227 |
| Address | 4 HOSPITAL LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||