Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11492 | Date 09/05/2024 |
| Token No | SM/24-25/16108 09/05/2024 | Serial | 007 |
| Patient Name | Miss ANIMIKA KUMARI | Contact No | 9330411764 |
| Address | 10 DEY STREET | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||