Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09432 | Date 21/06/2023 |
| Token No | SM/22-23/10366 21/06/2023 | Serial | 012 |
| Patient Name | Mrs. SITA DEVI | Contact No | 7450043907 |
| Address | 22 LBS ROAD | Age | 56 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||