Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09217 | Date 02/06/2023 |
| Token No | SM/22-23/9926 02/06/2023 | Serial | 007 |
| Patient Name | Mrs. PUNAM SINGH RAUT | Contact No | 8481992170 |
| Address | 123 R.B. SARANI | Age | 37 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||