Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07795 | Date 24/11/2022 |
| Token No | SM/22-23/6600 24/11/2022 | Serial | 014 |
| Patient Name | Baby PRITY KUMARI | Contact No | 9163196508 |
| Address | 11/303 RAM SITA LANE | Age | 14 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||