Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11882 | Date 01/08/2024 |
| Token No | SM/25-26/1278 18/07/2025 | Serial | 004 |
| Patient Name | Baby SANEHA KUMARI | Contact No | 7439021685 |
| Address | RAM SITA LANE | Age | 1 year 4 months Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||