Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07774 | Date 23/11/2022 |
| Token No | SM/22-23/11895 23/08/2023 | Serial | 017 |
| Patient Name | Master ADARSH GUPTA | Contact No | 9830313680 |
| Address | 112 R B SARANI | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||