Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 11084 | Date 01/02/2024 |
| Token No | SM/22-23/14533 01/02/2024 | Serial | 005 |
| Patient Name | Mrs. SIKHA SHIL | Contact No | 9831133546 |
| Address | 124E G.T. ROAD, MANIKTALA | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||