Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08770 | Date 17/04/2023 |
| Token No | SM/24-25/16438 23/05/2024 | Serial | 008 |
| Patient Name | Miss NANDIKA JAISWARA | Contact No | 7003385435 |
| Address | 7 DEY GHAT LANE | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||