Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10734 | Date 06/11/2023 |
| Token No | SM/24-25/17993 07/08/2024 | Serial | 036 |
| Patient Name | Mrs. ANJALI NAYEK | Contact No | 9073216995 |
| Address | 32/A G T ROAD | Age | 35 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||