Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08783 | Date 18/04/2023 |
| Token No | SM/22-23/8955 18/04/2023 | Serial | 016 |
| Patient Name | Miss RAGINI KUMARI THAKUR | Contact No | 9836356904 |
| Address | 96 R B SARANI | Age | 15 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||