Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06256 | Date 30/06/2022 |
| Token No | SM/22-23/3694 30/06/2022 | Serial | 003 |
| Patient Name | Master TEJASH KUMAR | Contact No | NOT GIVEN |
| Address | 13/A R.B.SARANI | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||