Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09834 | Date 02/08/2023 |
| Token No | SM/22-23/11313 02/08/2023 | Serial | 016 |
| Patient Name | Mrs. KAJAL SINGH | Contact No | 8777376556 |
| Address | 123 R.B. SARANI | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||