Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11567 | Date 24/05/2024 |
| Token No | SM/24-25/16470 24/05/2024 | Serial | 006 |
| Patient Name | Mrs. SHARMILA KUMARI | Contact No | 7061201072 |
| Address | RAMSITA LANE | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||