Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 08593 | Date 20/03/2023 |
| Token No | SM/22-23/8409 20/03/2023 | Serial | 024 |
| Patient Name | Mrs. SALU NAYEK | Contact No | 8910427080 |
| Address | JUBILEE BASTI | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||