Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06643 | Date 05/08/2022 |
| Token No | SM/22-23/4367 05/08/2022 | Serial | 016 |
| Patient Name | Miss KIRAN KUMARI | Contact No | 6291969983 |
| Address | 96 R.B. SARANI | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||