Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12863 | Date 07/04/2025 |
| Token No | SM/25-26/60 07/04/2025 | Serial | 004 |
| Patient Name | Miss SIBANGSHI THAKUR | Contact No | 8617762020 |
| Address | 113 R. B. SARANI | Age | 2 YRS 9 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||