Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12694 | Date 24/02/2025 |
| Token No | SM/24-25/21091 24/02/2025 | Serial | 011 |
| Patient Name | Miss SABNAM KUMARI | Contact No | 9748548352 |
| Address | 6 RAM SITA LANE | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||