Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04227 | Date 31/03/2021 |
| Token No | SM/22-23/8665 31/03/2023 | Serial | 015 |
| Patient Name | Master PRIYANSHU YADAV | Contact No | NOT GIVEN |
| Address | 79 DEY STREET | Age | 2 YR 3 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||