Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09672 | Date 18/07/2023 |
| Token No | SM/22-23/10983 18/07/2023 | Serial | 017 |
| Patient Name | Miss ARADHYA KUMARI | Contact No | 9088376086 |
| Address | RAM SITA LANE, NAYA BAGAN | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||