Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09904 | Date 08/08/2023 |
| Token No | SM/22-23/11459 08/08/2023 | Serial | 017 |
| Patient Name | Miss SANKARI BAIRAGI | Contact No | 8787684501 |
| Address | 47 BOTTALA | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||