Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12444 | Date 10/12/2024 |
| Token No | SM/24-25/20117 10/12/2024 | Serial | 003 |
| Patient Name | Baby SIWANSHI SINGH | Contact No | 9110049851 |
| Address | 60 ROY LAND ROAD | Age | 8 DAYS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||