Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10453 | Date 21/09/2023 |
| Token No | SM/22-23/12576 21/09/2023 | Serial | 026 |
| Patient Name | Miss ARADHYA KUMARI | Contact No | 7449506024 |
| Address | 122 R B SARANI | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||