Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13813 | Date 02/12/2025 |
| Token No | SM/25-26/2848 02/12/2025 | Serial | 005 |
| Patient Name | Miss RADHYA KUMARI | Contact No | 6204491922 |
| Address | 12/557 COCKRAIN ROAD | Age | 5 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||