Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12431 | Date 07/12/2024 |
| Token No | SM/24-25/20064 07/12/2024 | Serial | 001 |
| Patient Name | Miss SANCHITA KOIRI | Contact No | 6289351139 |
| Address | 79 DEY STREET | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||