Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10962 | Date 18/12/2023 |
| Token No | SM/22-23/13851 18/12/2023 | Serial | 002 |
| Patient Name | Mrs. KUMARI NEHA YADAV | Contact No | 8240794049 |
| Address | 107/A R.B. SARANI | Age | 21 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||