Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11446 | Date 25/04/2024 |
| Token No | SM/24-25/15977 25/04/2024 | Serial | 015 |
| Patient Name | Mrs. GITA BHAGAT | Contact No | 9038680846 |
| Address | SEORAPHULI | Age | 70 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||