Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12950 | Date 03/05/2025 |
| Token No | SM/25-26/338 03/05/2025 | Serial | 005 |
| Patient Name | Baby IPSHITA PASWAN | Contact No | 9163331594 |
| Address | 13 HOSPITAL LANE | Age | 4 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||