Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11883 | Date 02/08/2024 |
| Token No | SM/24-25/17872 02/08/2024 | Serial | 002 |
| Patient Name | Miss RITU KUMARI | Contact No | 8478088665 |
| Address | 7 NO LINE, RAM SITA LANE | Age | 8 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||