Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05382 | Date 02/02/2022 |
| Token No | SM/22-23/2814 25/04/2022 | Serial | 012 |
| Patient Name | Mrs. PRIYANKA THAKUR | Contact No | 6290698167 |
| Address | 124 R B SARANI | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||