Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10126 | Date 24/08/2023 |
| Token No | SM/22-23/11951 24/08/2023 | Serial | 018 |
| Patient Name | Miss SHRUTI PANDEY | Contact No | 7980258310 |
| Address | 10 CHATTERJEE LANE | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||