Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10659 | Date 05/10/2023 |
| Token No | SM/22-23/12979 05/10/2023 | Serial | 025 |
| Patient Name | Baby PRITI KUMARI | Contact No | 8622066875 |
| Address | RAMSHITA LANE | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||