Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09216 | Date 02/06/2023 |
| Token No | SM/22-23/9924 02/06/2023 | Serial | 005 |
| Patient Name | Miss ANUSHKA SINGH | Contact No | 7044377042 |
| Address | PACHU BAZAR | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||