Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12229 | Date 09/10/2024 |
| Token No | SM/24-25/19280 09/10/2024 | Serial | 007 |
| Patient Name | Mrs. LALITA DEVI | Contact No | 9831072766 |
| Address | 11 R.B. SARANI | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||