Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11678 | Date 20/06/2024 |
| Token No | SM/24-25/17009 20/06/2024 | Serial | 011 |
| Patient Name | Miss SANTOSHI KUMARI | Contact No | 7044676770 |
| Address | INDIA JUTE MILL | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||