Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12043 | Date 02/09/2024 |
| Token No | SM/24-25/19186 04/10/2024 | Serial | 021 |
| Patient Name | Baby PALAK SHA | Contact No | 8910667856 |
| Address | 55 RAY LAND ROAD | Age | 6 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||