Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10454 | Date 21/09/2023 |
| Token No | SM/22-23/12577 21/09/2023 | Serial | 027 |
| Patient Name | Mrs. MADHU DEBI | Contact No | 8100233173 |
| Address | 10 R B SARANI | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||