Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07750 | Date 21/11/2022 |
| Token No | SM/24-25/18041 08/08/2024 | Serial | 032 |
| Patient Name | Mrs. ANITA GUPTA | Contact No | 9830313680 |
| Address | 112 R.B. SARANI | Age | 40 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||