Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12839 | Date 02/04/2025 |
| Token No | SM/25-26/14 02/04/2025 | Serial | 013 |
| Patient Name | Miss B KAVITA | Contact No | 8697839817 |
| Address | DHARMATALA | Age | 14 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||