Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11088 | Date 01/02/2024 |
| Token No | SM/24-25/15844 19/04/2024 | Serial | 014 |
| Patient Name | Miss ARADHYA KUMARI | Contact No | 6204624210 |
| Address | RAM SITA LANE, NAYA BAGAN | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||