Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08619 | Date 22/03/2023 |
| Token No | SM/22-23/8479 22/03/2023 | Serial | 026 |
| Patient Name | Miss RITIKA RAI | Contact No | 9007754737 |
| Address | 56 AKHRA BATI LANE | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||