Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 10290 | Date 04/09/2023 |
| Token No | SM/22-23/12242 04/09/2023 | Serial | 026 |
| Patient Name | Miss PRITY SINGH.. | Contact No | 9123006697 |
| Address | 129B N.N. COLONY.. | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||