Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09144 | Date 22/05/2023 |
| Token No | SM/22-23/9743 22/05/2023 | Serial | 021 |
| Patient Name | Miss PUSPA KUMARI | Contact No | 8282906315 |
| Address | 6 RAMSITA LANE | Age | 14 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||