Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12474 | Date 19/12/2024 |
| Token No | SM/24-25/20294 19/12/2024 | Serial | 014 |
| Patient Name | Miss ANUSHKA KUMARI | Contact No | 9038670060 |
| Address | RAM SITA LANE | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||