Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09961 | Date 14/08/2023 |
| Token No | SM/22-23/11606 14/08/2023 | Serial | 016 |
| Patient Name | Miss PRIYANKA KUMARI RAWAT | Contact No | 9830228661 |
| Address | 2/A/1 SHYAMACHARAN LAHA LANE | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||