Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 11288 | Date 14/03/2024 |
| Token No | SM/22-23/15278 14/03/2024 | Serial | 028 |
| Patient Name | Miss SWATI SAHANI | Contact No | 9432210102 |
| Address | 99 T B STREET | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||