Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01289 | Date 16/11/2018 |
| Token No | SM/22-23/8427 21/03/2023 | Serial | 007 |
| Patient Name | Miss NIKITA BHARTI | Contact No | 7044759374 |
| Address | 1 DEY GHAT LANE | Age | 13 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||