Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04727 | Date 16/08/2021 |
| Token No | SM/24-25/19069 28/09/2024 | Serial | 022 |
| Patient Name | Mrs. MADHURI PRASAD | Contact No | 8910812602 |
| Address | 76 DEY STREET | Age | 33 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||