Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12475 | Date 19/12/2024 |
| Token No | SM/24-25/20295 19/12/2024 | Serial | 015 |
| Patient Name | Miss ICHHA KUMARI | Contact No | 9038670060 |
| Address | RAM SITA LANE | Age | 1 YEAR 6 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||