Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12058 | Date 04/09/2024 |
| Token No | SM/24-25/18734 10/09/2024 | Serial | 013 |
| Patient Name | Miss AKSHU KUMARI | Contact No | 9038583202 |
| Address | RAM SITA LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||