Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07117 | Date 23/09/2022 |
| Token No | SM/25-26/1627 11/08/2025 | Serial | 020 |
| Patient Name | Miss ARPITA GUPTA | Contact No | 9830313680 |
| Address | 112 R.B. SARANI | Age | 22 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||