Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08601 | Date 21/03/2023 |
| Token No | SM/22-23/8430 21/03/2023 | Serial | 010 |
| Patient Name | Miss SANJANA KUMARI | Contact No | 6291710115 |
| Address | RAM SITA LANE | Age | 9 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||