Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10628 | Date 03/10/2023 |
| Token No | SM/22-23/12907 03/10/2023 | Serial | 031 |
| Patient Name | Mr. ROHIT MADRASHI. | Contact No | 8420631268 |
| Address | RISHRA | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||