Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08840 | Date 24/04/2023 |
| Token No | SM/24-25/16352 17/05/2024 | Serial | 022 |
| Patient Name | Baby ANSHIKA KUMARI | Contact No | 8013111755 |
| Address | 79 DEY STREET | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||