Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06667 | Date 08/08/2022 |
| Token No | SM/22-23/4395 08/08/2022 | Serial | 021 |
| Patient Name | Mrs. CH KAMLAWATI | Contact No | 9333413260 |
| Address | 13/A R B SARANI | Age | 54 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||