Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07389 | Date 25/10/2022 |
| Token No | SM/22-23/5774 25/10/2022 | Serial | 002 |
| Patient Name | Miss KHUSI SINGH | Contact No | 8777638645 |
| Address | 4 DEY GHAT LANE | Age | 7 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||