Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09492 | Date 26/06/2023 |
| Token No | SM/24-25/17883 03/08/2024 | Serial | 003 |
| Patient Name | Miss ROSHNI KUMARI | Contact No | 9330868480 |
| Address | 5 DOSTI LANE | Age | 9 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||