Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08042 | Date 28/12/2022 |
| Token No | SM/22-23/7210 28/12/2022 | Serial | 007 |
| Patient Name | Master ANSH SINGH | Contact No | 8100535827 |
| Address | 57/71 RAILAND ROAD | Age | I YR 4 MNTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||