Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05977 | Date 30/12/2023 |
| Token No | SM/22-23/17077 30/12/2023 | Serial | 029 |
| Patient Name | Mrs. SARRITA NAIK | Contact No | 6292260672 |
| Address | PROVASNAGER | Age | 33 YRS Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||