Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09710 | Date 20/07/2023 |
| Token No | SM/22-23/11072 20/07/2023 | Serial | 032 |
| Patient Name | Miss ARBI GUPTA.. | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 4 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||