Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11005 | Date 03/01/2024 |
| Token No | SM/22-23/14066 03/01/2024 | Serial | 023 |
| Patient Name | Mrs. RANNO DEVI | Contact No | 8585877636 |
| Address | 13 LBS ROAD | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||