Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07396 | Date 25/10/2022 |
| Token No | SM/24-25/20398 02/01/2025 | Serial | 001 |
| Patient Name | Mrs. CH, SHANTI | Contact No | 9830498608 |
| Address | 107 R.B.SARANI | Age | 38 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||