Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10128 | Date 25/08/2023 |
| Token No | SM/22-23/11960 25/08/2023 | Serial | 002 |
| Patient Name | Master SUBHAM SHAW | Contact No | 8017796076 |
| Address | 390 G T ROAD MAHESH | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||