Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06429 | Date 13/03/2024 |
| Token No | SM/22-23/19808 13/03/2024 | Serial | 063 |
| Patient Name | Baby SWATI KEDER | Contact No | 8509813013 |
| Address | DHUBULIYA HARIJAN PALLY | Age | 1 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||