Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05228 | Date 05/01/2022 |
| Token No | SM/21-22/1794 05/01/2022 | Serial | 009 |
| Patient Name | Master ANKUSH KUMAR | Contact No | NOT GIVEN |
| Address | 124 R B SARANI | Age | 6 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||