Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10527 | Date 26/09/2023 |
| Token No | SM/22-23/12688 26/09/2023 | Serial | 004 |
| Patient Name | Mr. KRISH KUMAR | Contact No | 9830228661 |
| Address | SIRISHTALA | Age | 6 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||