Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06396 | Date 20/07/2022 |
| Token No | SM/22-23/3921 20/07/2022 | Serial | 005 |
| Patient Name | Master PIYUSH PASWAN | Contact No | NOT GIVEN |
| Address | MAHESH COLONY | Age | 6 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||