Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12279 | Date 28/10/2024 |
| Token No | SM/24-25/19491 28/10/2024 | Serial | 026 |
| Patient Name | Mrs. RAMROTI DEVI | Contact No | 9262809805 |
| Address | 8/387 RAM SITA LANE | Age | 50 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||