Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11808 | Date 18/07/2024 |
| Token No | SM/24-25/18246 17/08/2024 | Serial | 006 |
| Patient Name | Baby RIDYSHI NATH | Contact No | 9836738651 |
| Address | PANCHANAN TALA | Age | 14 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||