Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07095 | Date 20/09/2022 |
| Token No | SM/22-23/5219 20/09/2022 | Serial | 011 |
| Patient Name | Mrs. KARO DEVI | Contact No | 9708670689 |
| Address | RAM SITA LANE | Age | 39 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||