Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09227 | Date 02/06/2023 |
| Token No | SM/22-23/9938 02/06/2023 | Serial | 019 |
| Patient Name | Mrs. SANDHYA PATEL | Contact No | 9967176122 |
| Address | 55 RAY LAND ROAD | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||