Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11420 | Date 19/04/2024 |
| Token No | SM/24-25/15831 19/04/2024 | Serial | 001 |
| Patient Name | Mrs. SARITA PRASAD | Contact No | 7687051567 |
| Address | 30/A L M B STREET | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||