Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00347 | Date 29/08/2018 |
| Token No | SM/24-25/17309 04/07/2024 | Serial | 004 |
| Patient Name | Mrs. MURALI DEVI | Contact No | NOT GIVEN |
| Address | 17/A/3 CHOWDHAURI PARA LANE | Age | 69 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||