Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 10544 | Date 27/09/2023 |
| Token No | SM/22-23/12736 27/09/2023 | Serial | 006 |
| Patient Name | Miss SAYANI MAJHI | Contact No | 9874116411 |
| Address | 11 BHAGIRATHI LANE | Age | 6 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||