Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10805 | Date 22/11/2023 |
| Token No | SM/22-23/13352 22/11/2023 | Serial | 027 |
| Patient Name | Miss ANJALI RAM | Contact No | 8910360960 |
| Address | 7 DEY GHAT LANE | Age | 16 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||