Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10509 | Date 25/09/2023 |
| Token No | SM/22-23/12666 25/09/2023 | Serial | 027 |
| Patient Name | Miss PRITI KUMARI | Contact No | 8910841044 |
| Address | 84 DEY STREET | Age | 15 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||