Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09900 | Date 08/08/2023 |
| Token No | SM/22-23/11452 08/08/2023 | Serial | 010 |
| Patient Name | Miss CHANCHAL KUMARI | Contact No | 7890074176 |
| Address | 104 R B SARANI | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||