Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07284 | Date 17/10/2022 |
| Token No | SM/24-25/17001 20/06/2024 | Serial | 003 |
| Patient Name | Mrs. MALTI PARIYALI | Contact No | NOT GIVEN |
| Address | PAL BAGAN | Age | 41 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||