Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06441 | Date 22/07/2022 |
| Token No | SM/22-23/3975 22/07/2022 | Serial | 014 |
| Patient Name | Mrs. MANISHA KUMARI | Contact No | 9905784926 |
| Address | 12 R B SARANI | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||