Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11524 | Date 13/05/2024 |
| Token No | SM/24-25/16221 13/05/2024 | Serial | 027 |
| Patient Name | Mrs. MAMTA DEVI | Contact No | 7890060545 |
| Address | 104 R.B. SARANI | Age | 28 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||