Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12397 | Date 25/11/2024 |
| Token No | SM/24-25/20360 23/12/2024 | Serial | 028 |
| Patient Name | Mrs. PRIYANKA KUMARI SHAH | Contact No | 7003693576 |
| Address | 123 RB SARANI | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||