Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10341 | Date 08/09/2023 |
| Token No | SM/22-23/12938 04/10/2023 | Serial | 017 |
| Patient Name | Mrs. KADAM DIG | Contact No | 9830417903 |
| Address | 42 BHAGIRATHI LANE | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||