Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09650 | Date 17/07/2023 |
| Token No | SM/22-23/10952 17/07/2023 | Serial | 035 |
| Patient Name | Miss GUNGUN BARAT | Contact No | 6291697039 |
| Address | R B SARANI | Age | 20 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||