Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 12862 | Date 07/04/2025 |
| Token No | SM/25-26/58 07/04/2025 | Serial | 002 |
| Patient Name | Mrs. MANJU SRIMANI | Contact No | 9681465274 |
| Address | BHAGIRATHI LANE | Age | 64 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||