Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10324 | Date 07/09/2023 |
| Token No | SM/22-23/12318 07/09/2023 | Serial | 011 |
| Patient Name | Miss RAGINI KUMARI | Contact No | 9073607023 |
| Address | RAM SITA LANE | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||