Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11182 | Date 21/02/2024 |
| Token No | SM/22-23/14862 21/02/2024 | Serial | 031 |
| Patient Name | Mrs. MINA DEVI.. | Contact No | 7667449712 |
| Address | RAM SITA LANE | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||