Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10206 | Date 29/08/2023 |
| Token No | SM/22-23/12082 29/08/2023 | Serial | 015 |
| Patient Name | Mrs. ANUSHRI UPADHYAY | Contact No | 9062165448 |
| Address | CHURCH STREET | Age | 7 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||