Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11516 | Date 13/05/2024 |
| Token No | SM/24-25/16199 13/05/2024 | Serial | 005 |
| Patient Name | Mr. JITU BARAT | Contact No | 8013475647 |
| Address | DOSTI LANE | Age | 29 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||