Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11474 | Date 06/05/2024 |
| Token No | SM/25-26/1085 03/07/2025 | Serial | 010 |
| Patient Name | Mrs. DAMAYANTI RAO | Contact No | 7059631773 |
| Address | DEY STREET | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||