Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11356 | Date 03/04/2024 |
| Token No | SM/24-25/15576 03/04/2024 | Serial | 002 |
| Patient Name | Mrs. MANJU DEVI | Contact No | 7044926720 |
| Address | BAGKHAL | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||