Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09951 | Date 11/08/2023 |
| Token No | SM/22-23/11578 11/08/2023 | Serial | 025 |
| Patient Name | Miss KIRAN RAJBHAR | Contact No | 7605808134 |
| Address | 10 DEY STREET | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||