Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07044 | Date 15/09/2022 |
| Token No | SM/22-23/5132 15/09/2022 | Serial | 013 |
| Patient Name | Mrs. ASHA PATOA | Contact No | 8697302656 |
| Address | 106/2 R.B. SARANI | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||