Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05829 | Date 12/05/2022 |
| Token No | SM/22-23/2949 12/05/2022 | Serial | 006 |
| Patient Name | Miss ARTI KUMARI | Contact No | 6207685149 |
| Address | 125 R B SARANI | Age | 24 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||