Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11918 | Date 08/08/2024 |
| Token No | SM/24-25/18012 08/08/2024 | Serial | 003 |
| Patient Name | Baby SIA PRADHAN | Contact No | 6290209315 |
| Address | 14 R B SARANI | Age | 5 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||