Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05972 | Date 30/05/2022 |
| Token No | SM/22-23/3170 30/05/2022 | Serial | 009 |
| Patient Name | Baby SONAM ADAK | Contact No | 9038422654 |
| Address | 18 AKHRA BATI LANE | Age | 1 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||