Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08910 | Date 28/04/2023 |
| Token No | SM/22-23/9242 28/04/2023 | Serial | 004 |
| Patient Name | Miss TANNI PANDEY | Contact No | 9674857844 |
| Address | KALITALA | Age | 16 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||