Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11975 | Date 20/08/2024 |
| Token No | SM/24-25/18275 20/08/2024 | Serial | 018 |
| Patient Name | Mrs. SUDHA JHA | Contact No | 9330932004 |
| Address | 104 R.B. SARANI | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||