Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08613 | Date 22/03/2023 |
| Token No | SM/22-23/8456 22/03/2023 | Serial | 003 |
| Patient Name | Baby KAREENA KUMARI | Contact No | 8229027313 |
| Address | 7 R B SARANI | Age | 2 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||