Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07153 | Date 27/09/2022 |
| Token No | SM/22-23/5343 27/09/2022 | Serial | 017 |
| Patient Name | Miss SHREYA SINGH | Contact No | 6289514973 |
| Address | 3 DEY GHAT LANE | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||