Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13856 | Date 11/12/2025 |
| Token No | SM/25-26/2971 11/12/2025 | Serial | 019 |
| Patient Name | Baby RASHI SAH | Contact No | 9831790377 |
| Address | 19 DOSTY LANE | Age | 2 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||