Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11330 | Date 28/03/2024 |
| Token No | SM/22-23/15481 28/03/2024 | Serial | 016 |
| Patient Name | Miss NISHA KUMARI | Contact No | 9836076343 |
| Address | DEY GHAT LANE | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||