Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12842 | Date 02/04/2025 |
| Token No | SM/25-26/18 02/04/2025 | Serial | 017 |
| Patient Name | Miss MITHI KUMKARI | Contact No | 9748376972 |
| Address | RAM SITA LANE | Age | 12 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||