Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10259 | Date 01/09/2023 |
| Token No | SM/22-23/12182 01/09/2023 | Serial | 018 |
| Patient Name | Baby SMRITI KUMARI | Contact No | 9874440016 |
| Address | 6 NAYA BAGAN | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||