Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09620 | Date 13/07/2023 |
| Token No | SM/22-23/15528 30/03/2024 | Serial | 004 |
| Patient Name | Mr. SAHIL KUMAR | Contact No | 9155373732 |
| Address | 96 R.B SARANI | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||