Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09336 | Date 14/06/2023 |
| Token No | SM/22-23/11636 16/08/2023 | Serial | 009 |
| Patient Name | Miss ANJALI KUMARI | Contact No | 7439161552 |
| Address | 8 RAM SITA LANE | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||