Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11624 | Date 06/06/2024 |
| Token No | SM/24-25/18109 09/08/2024 | Serial | 048 |
| Patient Name | Mrs. KAJAL DEVI | Contact No | 9748589544 |
| Address | 12 NO RB SARANI | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||