Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11337 | Date 30/03/2024 |
| Token No | SM/22-23/15529 30/03/2024 | Serial | 005 |
| Patient Name | Mrs. GURIYA DEBI | Contact No | 9155373732 |
| Address | 96 R.B. SARANI | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||