Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11274 | Date 13/03/2024 |
| Token No | SM/24-25/17839 31/07/2024 | Serial | 016 |
| Patient Name | Mrs. UTLA. DOLI | Contact No | 7044750323 |
| Address | 10 B L C MILLS ROAD | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||