Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12623 | Date 06/02/2025 |
| Token No | SM/24-25/20851 06/02/2025 | Serial | 007 |
| Patient Name | Baby RANI KUMARI | Contact No | NOT GIVEN |
| Address | RAY LAND ROAD | Age | 1 YEARS 4 MONTH Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||