Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 10913 | Date 11/12/2023 |
| Token No | SM/22-23/13672 11/12/2023 | Serial | 013 |
| Patient Name | Miss NANDINI SHAW | Contact No | 8240806485 |
| Address | RAY LAND ROAD | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||