Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10169 | Date 28/08/2023 |
| Token No | SM/22-23/12033 28/08/2023 | Serial | 035 |
| Patient Name | Miss WANSHIKA ARORA | Contact No | 9088433187 |
| Address | 57/C KALITALA | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||