Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11952 | Date 13/08/2024 |
| Token No | SM/24-25/18139 13/08/2024 | Serial | 003 |
| Patient Name | Miss KARISHMA KUMARI | Contact No | 9711716321 |
| Address | RAM SITA LANE | Age | 17 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||