Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09020 | Date 12/05/2023 |
| Token No | SM/22-23/9518 12/05/2023 | Serial | 006 |
| Patient Name | Miss ANUSHKA KUMARI | Contact No | 9007133989 |
| Address | 55 RAI LAND ROAD | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||