Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13287 | Date 24/07/2025 |
| Token No | SM/25-26/1382 24/07/2025 | Serial | 021 |
| Patient Name | Miss TRISHA MODHU | Contact No | 6289872950 |
| Address | 138/B N.N. COLONY | Age | 6 YRS 6 MNTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||