Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 06730 | Date 13/08/2022 |
| Token No | SM/22-23/5053 10/09/2022 | Serial | 005 |
| Patient Name | Miss PRIYA YADAV.. | Contact No | NOT GIVEN |
| Address | 79B DEY STREET | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||