Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06675 | Date 08/08/2022 |
| Token No | SM/22-23/4408 08/08/2022 | Serial | 034 |
| Patient Name | Mrs. NIRMALA PRASAD | Contact No | 8294455202 |
| Address | 112 R B SARANI | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||