Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09639 | Date 17/07/2023 |
| Token No | SM/22-23/10937 17/07/2023 | Serial | 020 |
| Patient Name | Master ANSH KUMAR | Contact No | 7439161552 |
| Address | RAM SITA LANE | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||