Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12794 | Date 19/03/2025 |
| Token No | SM/24-25/21364 19/03/2025 | Serial | 002 |
| Patient Name | Mr. SHIB BARAD | Contact No | 9007474965 |
| Address | 9 R B SARANI | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||