Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13706 | Date 06/11/2025 |
| Token No | SM/25-26/2522 06/11/2025 | Serial | 001 |
| Patient Name | Baby SHIBANI KUMARI | Contact No | 7980070955 |
| Address | RAM SITA LANE | Age | 2 YRS Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||