Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06260 | Date 30/06/2022 |
| Token No | SM/24-25/19518 30/10/2024 | Serial | 011 |
| Patient Name | Baby CHITRA KUMARI | Contact No | 8981883942 |
| Address | 13/A R B SARANI | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||