Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02803 | Date 14/08/2019 |
| Token No | SM/18-19/5618 14/08/2019 | Serial | 008 |
| Patient Name | Master YASH KUMAR PATWA | Contact No | 8232990676 |
| Address | 31 BAZAR BYE LANE | Age | 3 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||