Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12397 | Date 25/11/2024 |
| Token No | SM/24-25/21120 25/02/2025 | Serial | 002 |
| 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 | |||