Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 11998 | Date 23/08/2024 |
| Token No | SM/24-25/19349 19/10/2024 | Serial | 017 |
| Patient Name | Mrs. RAKHI PAUL | Contact No | 8981167213 |
| Address | 182 N.N. COLONY | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||