Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12392 | Date 25/11/2024 |
| Token No | SM/24-25/19886 25/11/2024 | Serial | 032 |
| Patient Name | Miss AYESHA RAM | Contact No | 7991503944 |
| Address | 7 DEY GHAT LANE | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||