Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11856 | Date 29/07/2024 |
| Token No | SM/24-25/17789 29/07/2024 | Serial | 016 |
| Patient Name | Baby SHIBANI KUMARI | Contact No | |
| Address | RAM SITA LANE | Age | 8 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||