Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10023 | Date 18/08/2023 |
| Token No | SM/22-23/11737 18/08/2023 | Serial | 037 |
| Patient Name | Miss GUNAKSHI SINGH | Contact No | NOT GIVEN |
| Address | BANDEL | Age | 3 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||