Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 08944 | Date 02/05/2023 |
| Token No | SM/22-23/9312 02/05/2023 | Serial | 024 |
| Patient Name | Mrs. UMABATI JADAV | Contact No | 8296313224 |
| Address | MAHESH | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||