Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13201 | Date 03/07/2025 |
| Token No | SM/25-26/1088 03/07/2025 | Serial | 013 |
| Patient Name | Baby RADHIKA PANDEY | Contact No | 9555286838 |
| Address | CHATRA | Age | 10 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||