Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 07190 | Date 27/06/2024 |
| Token No | SM/25-26/7059 28/08/2025 | Serial | 068 |
| Patient Name | Mrs. PRIYA SHARMA | Contact No | 8100748721 |
| Address | 790/2 S K NAGAR JHAJI MORE RISHRA M 712249 | Age | 26 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||