Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11169 | Date 20/02/2024 |
| Token No | SM/22-23/14824 20/02/2024 | Serial | 033 |
| Patient Name | Miss SACHCHI KUMARI | Contact No | |
| Address | DHARMATALA | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||