Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13002 | Date 19/05/2025 |
| Token No | SM/25-26/493 19/05/2025 | Serial | 006 |
| Patient Name | Miss PRIYANSHU KUMARI | Contact No | 6209865590 |
| Address | 122 R B SARANI | Age | 12 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||