Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11924 | Date 08/08/2024 |
| Token No | SM/24-25/18047 08/08/2024 | Serial | 038 |
| Patient Name | Mrs. PUJA HELA | Contact No | 6289430407 |
| Address | 10 DOSTI LANE | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||