Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10289 | Date 04/09/2023 |
| Token No | SM/22-23/12241 04/09/2023 | Serial | 025 |
| Patient Name | Mrs. RENU DEVI | Contact No | |
| Address | Age | 50 YRS Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||