Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13311 | Date 28/07/2025 |
| Token No | SM/25-26/1425 28/07/2025 | Serial | 016 |
| Patient Name | Mrs. RAKHI DEVI | Contact No | 8981635430 |
| Address | R B SARANI | Age | 32 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||