Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12851 | Date 03/04/2025 |
| Token No | SM/25-26/35 03/04/2025 | Serial | 006 |
| Patient Name | Baby SANTOSHI KUMARI | Contact No | 6290839063 |
| Address | RAM SITA LANE | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||