Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12646 | Date 12/02/2025 |
| Token No | SM/24-25/20924 12/02/2025 | Serial | 009 |
| Patient Name | Miss AMRITA KUMARI | Contact No | 8777511709 |
| Address | 126 R.B. SARANI | Age | 18 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||