Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 07839 | Date 29/11/2022 |
| Token No | SM/22-23/6700 29/11/2022 | Serial | 015 |
| Patient Name | Master SUMIT KUMAR | Contact No | NOT GIVEN |
| Address | 3 R.B. SARANI | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||