Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08261 | Date 06/02/2023 |
| Token No | SM/22-23/7695 06/02/2023 | Serial | 010 |
| Patient Name | Miss G KHUSHI | Contact No | 8013341595 |
| Address | 102 R.B. SARANI | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||