Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09637 | Date 17/07/2023 |
| Token No | SM/22-23/10927 17/07/2023 | Serial | 010 |
| Patient Name | Miss PRITI KUMARI | Contact No | 9330169911 |
| Address | 84 DEY STREET | Age | 15 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||