Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07872 | Date 02/12/2022 |
| Token No | SM/22-23/6779 02/12/2022 | Serial | 008 |
| Patient Name | Miss PRITI KUMARI | Contact No | 8276883506 |
| Address | 62 RAILAND ROAD | Age | 15 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||