Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11390 | Date 09/04/2024 |
| Token No | SM/24-25/15690 09/04/2024 | Serial | 004 |
| Patient Name | Miss PIHU KUMARI | Contact No | 8271814453 |
| Address | 14B DEY STREET | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||