Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07883 | Date 05/12/2022 |
| Token No | SM/22-23/6806 05/12/2022 | Serial | 010 |
| Patient Name | Miss SADHNA SHARMA | Contact No | 7980825359 |
| Address | 15/B A.B. GARDEN LANE | Age | 5YRS 10 MNTHS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||