Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05615 | Date 07/11/2023 |
| Token No | SM/22-23/16781 21/12/2023 | Serial | 034 |
| Patient Name | Baby SUJANA KHATOON | Contact No | 9044088361 |
| Address | GOBINDAPUR | Age | 1 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||