Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09499 | Date 30/06/2023 |
| Token No | SM/22-23/10503 30/06/2023 | Serial | 006 |
| Patient Name | Master PRIYANSHU YADAV | Contact No | 9836051566 |
| Address | 79 DEY STREET | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||