Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11043 | Date 17/01/2024 |
| Token No | SM/22-23/14314 17/01/2024 | Serial | 034 |
| Patient Name | Baby SANDHYA KUMARI | Contact No | 8229027313 |
| Address | 7 R.B. SARANI | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||