Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04432 | Date 02/06/2021 |
| Token No | SM/21-22/331 02/06/2021 | Serial | 003 |
| Patient Name | Miss SHRIYA KUMARI | Contact No | 9955287186 |
| Address | 164 NEW MAHESH | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||