Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05053 | Date 16/11/2021 |
| Token No | SM/21-22/1401 16/11/2021 | Serial | 006 |
| Patient Name | Master RAJ YADAV | Contact No | 8488959504 |
| Address | DEY BARI | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||