Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04287 | Date 19/04/2021 |
| Token No | SM/22-23/14018 28/12/2023 | Serial | 022 |
| Patient Name | Mrs. SEFALI BAIRAGI | Contact No | NOT GIVEN |
| Address | BAT TALA | Age | 63 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||