Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08584 | Date 20/03/2023 |
| Token No | SM/22-23/8392 20/03/2023 | Serial | 007 |
| Patient Name | Mrs. CHINTA DEVI | Contact No | 6290107088 |
| Address | K.M. SHA STREET | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||