Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10362 | Date 12/09/2023 |
| Token No | SM/22-23/12411 12/09/2023 | Serial | 016 |
| Patient Name | Baby MAHI HELA | Contact No | 7449792838 |
| Address | SHAMSHAN KALI | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||