Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10237 | Date 31/08/2023 |
| Token No | SM/22-23/12139 31/08/2023 | Serial | 017 |
| Patient Name | Mrs. GINA JHA | Contact No | NOT GIVEN |
| Address | 100 NO R B SARANI | Age | 45 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||