Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11476 | Date 06/05/2024 |
| Token No | SM/24-25/16068 06/05/2024 | Serial | 009 |
| Patient Name | Mrs. KRISHNA METE | Contact No | 9748382546 |
| Address | 11A A.B. GARDEN LANE | Age | 42 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||