Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13058 | Date 26/05/2025 |
| Token No | SM/25-26/606 26/05/2025 | Serial | 014 |
| Patient Name | Miss SALONI KUMARI | Contact No | 6291191873 |
| Address | 112 R.B. SARANI | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||