Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10083 | Date 22/08/2023 |
| Token No | SM/22-23/11838 22/08/2023 | Serial | 017 |
| Patient Name | Master ARUN KOHAR | Contact No | 6311889013 |
| Address | 162 G T ROAD, MANIKTALA | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||