Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 04764 | Date 18/08/2021 |
| Token No | SM/24-25/15921 23/04/2024 | Serial | 007 |
| Patient Name | Mr. ANISH BHARTI | Contact No | 7890738007 |
| Address | DHULI PARA | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||