Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07703 | Date 16/11/2022 |
| Token No | SM/22-23/6400 16/11/2022 | Serial | 030 |
| Patient Name | Baby MEHAKSHA RONAQUE | Contact No | 9062313698 |
| Address | 5/B/3/1 DEY STREET | Age | 3yr 6 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||