Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11818 | Date 19/07/2024 |
| Token No | SM/24-25/17617 19/07/2024 | Serial | 004 |
| Patient Name | Mrs. PRIYANKA ROUTH | Contact No | 8100489969 |
| Address | HOSPITAL LANE | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||