Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11491 | Date 09/05/2024 |
| Token No | SM/24-25/16107 09/05/2024 | Serial | 006 |
| Patient Name | Mrs. GURIYA DEVI | Contact No | 9330411764 |
| Address | 10 DEY STREET | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||