Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10443 | Date 21/09/2023 |
| Token No | SM/22-23/12556 21/09/2023 | Serial | 006 |
| Patient Name | Mrs. KANTI PRAJAPATI | Contact No | 8777345742 |
| Address | 62 RAY LAND ROAD | Age | 62 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||