Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09898 | Date 08/08/2023 |
| Token No | SM/22-23/11445 08/08/2023 | Serial | 003 |
| Patient Name | Miss MITHI KUMARI | Contact No | 8420976261 |
| Address | RAM SITA LANE | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||