Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11776 | Date 11/07/2024 |
| Token No | SM/24-25/17464 11/07/2024 | Serial | 015 |
| Patient Name | Mrs. B KALPANA | Contact No | 9123700507 |
| Address | 13/A R B SARANI | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||