Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12426 | Date 06/12/2024 |
| Token No | SM/24-25/20055 06/12/2024 | Serial | 002 |
| Patient Name | Mrs. GANGA JANA | Contact No | 9123745150 |
| Address | 5 DOSTI LANE | Age | 45 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||