Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 12491 | Date 23/12/2024 |
| Token No | SM/24-25/20353 23/12/2024 | Serial | 021 |
| Patient Name | Mrs. KRISHNA DHARA | Contact No | 9330246338 |
| Address | SANIPARA LANE | Age | 48 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||