Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11737 | Date 04/07/2024 |
| Token No | SM/24-25/17306 04/07/2024 | Serial | 001 |
| Patient Name | Mrs. PUJA RAO | Contact No | 9330753172 |
| Address | 62A RAILAND ROAD | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||