Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10085 | Date 22/08/2023 |
| Token No | SM/22-23/11844 22/08/2023 | Serial | 023 |
| Patient Name | Miss ASHU KUMARI SINGH | Contact No | 9088745448 |
| Address | RAM SITA LANE | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||