Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07287 | Date 17/10/2022 |
| Token No | SM/22-23/5580 17/10/2022 | Serial | 034 |
| Patient Name | Miss RITIKA RAJBHAR | Contact No | 9432071704 |
| Address | 10 DEY STREET | Age | 5 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||