Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12641 | Date 10/02/2025 |
| Token No | SM/24-25/20895 10/02/2025 | Serial | 008 |
| Patient Name | Mrs. ANJALI GUPTA | Contact No | 8100399959 |
| Address | 96 R.B. SARANI | Age | 25 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||