Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06198 | Date 23/06/2022 |
| Token No | SM/24-25/18382 24/08/2024 | Serial | 022 |
| Patient Name | Mrs. KANIKA BHAR | Contact No | 8420798588 |
| Address | 41 R.B. SARANI | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||