Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09745 | Date 24/07/2023 |
| Token No | SM/22-23/11136 24/07/2023 | Serial | 008 |
| Patient Name | Master ANSU KUMARI | Contact No | 9432946834 |
| Address | 79/A DEY ST | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||