Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11521 | Date 13/05/2024 |
| Token No | SM/24-25/16211 13/05/2024 | Serial | 017 |
| Patient Name | Baby ANUSHKA KUMARI | Contact No | |
| Address | RAM SITA LANE | Age | 2 YRS 6 mnths Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||