Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13350 | Date 07/08/2025 |
| Token No | SM/25-26/2055 15/09/2025 | Serial | 012 |
| Patient Name | Master VEER PRAJAPATI | Contact No | 9748649713 |
| Address | 55 RAILAND ROAD | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||