Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11235 | Date 06/03/2024 |
| Token No | SM/24-25/16364 21/05/2024 | Serial | 003 |
| Patient Name | Mr. PRITI KUMARI | Contact No | 9163196508 |
| Address | RAM SITA LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||