Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12357 | Date 20/11/2024 |
| Token No | SM/24-25/19780 20/11/2024 | Serial | 011 |
| Patient Name | Mrs. KAMAL KUMARI | Contact No | NOT GIVEN |
| Address | 12 HOSPITAL LANE | Age | 27 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||