Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12316 | Date 11/11/2024 |
| Token No | SM/24-25/19648 11/11/2024 | Serial | 014 |
| Patient Name | Mrs. PUTUL SHA | Contact No | 8120560654 |
| Address | RAM SITA LANE | Age | 30 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||