Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08631 | Date 23/03/2023 |
| Token No | SM/22-23/10797 12/07/2023 | Serial | 003 |
| Patient Name | Miss ANKITA MAJHI | Contact No | 9875336312 |
| Address | 9 AKHRA BATI LANE | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||