Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11081 | Date 31/01/2024 |
| Token No | SM/24-25/16052 03/05/2024 | Serial | 011 |
| Patient Name | Mrs. ANJALI GUPTA | Contact No | 9875396498 |
| Address | 96 R.B. SARANI | Age | Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||