Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 10477 | Date 22/09/2023 |
| Token No | SM/22-23/12613 22/09/2023 | Serial | 012 |
| Patient Name | Mrs. BABY DAS | Contact No | 9007062994 |
| Address | 206/A NEW MAHESH | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||