Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 08326 | Date 30/11/2024 |
| Token No | SM/24-25/32066 30/11/2024 | Serial | 025 |
| Patient Name | Baby AISHA MAHTO | Contact No | 6290056886 |
| Address | 15 29 GOWAL PARA RISHRA M 712249 | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||