Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06983 | Date 08/09/2022 |
| Token No | SM/22-23/4992 08/09/2022 | Serial | 011 |
| Patient Name | Mr. SHIV KUMAR | Contact No | 7450043907 |
| Address | JHAUTALA | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||