Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11573 | Date 28/05/2024 |
| Token No | SM/24-25/16531 28/05/2024 | Serial | 019 |
| Patient Name | Mrs. BABITA DEBI | Contact No | 8910472812 |
| Address | 122 R B SARANI | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||