Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12249 | Date 19/10/2024 |
| Token No | SM/24-25/19354 19/10/2024 | Serial | 022 |
| Patient Name | Mrs. ASHIKA KUMARI | Contact No | 9163247037 |
| Address | 6 Ram sita lane | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||