Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08299 | Date 09/02/2023 |
| Token No | SM/22-23/7763 09/02/2023 | Serial | 005 |
| Patient Name | Baby SANIYA KUMARI | Contact No | 9674489894 |
| Address | 12 NO LINE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||