Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10623 | Date 03/10/2023 |
| Token No | SM/22-23/12901 03/10/2023 | Serial | 025 |
| Patient Name | Miss ANSHIKA KUMARI | Contact No | 9432946834 |
| Address | 79 DEY STREET | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||