Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07845 | Date 30/11/2022 |
| Token No | SM/22-23/6715 30/11/2022 | Serial | 004 |
| Patient Name | Miss K. DEVI | Contact No | 9830498608 |
| Address | 13/A R,B, SARANI | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||