Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13073 | Date 04/06/2025 |
| Token No | SM/25-26/660 04/06/2025 | Serial | 025 |
| Patient Name | Miss SHANTI RAM | Contact No | 9163196394 |
| Address | 7 DEY GHAT LANE | Age | 1 YR 6 MONTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||