Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11966 | Date 16/08/2024 |
| Token No | SM/24-25/19270 08/10/2024 | Serial | 009 |
| Patient Name | Mrs. SONAL KUMARI | Contact No | 9229285895 |
| Address | 8 DEY STREET | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||