Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09704 | Date 20/07/2023 |
| Token No | SM/22-23/11061 20/07/2023 | Serial | 021 |
| Patient Name | Miss AMRITA KUMARI. | Contact No | 8777511709 |
| Address | R.B SARANI | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||