Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12314 | Date 11/11/2024 |
| Token No | SM/24-25/19646 11/11/2024 | Serial | 012 |
| Patient Name | Baby ANKSHIKA GUPTA | Contact No | 8100399959 |
| Address | 96 R B SARANI | Age | 3 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||