Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11947 | Date 12/08/2024 |
| Token No | SM/24-25/19666 12/11/2024 | Serial | 011 |
| Patient Name | Mrs. KAJAL DEVI | Contact No | 6289408478 |
| Address | 12 NO RB SARANI | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||