Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04329 | Date 26/04/2021 |
| Token No | SM/24-25/21329 17/03/2025 | Serial | 002 |
| Patient Name | Miss SOMIA SINGH | Contact No | NOT GIVEN |
| Address | BSNL OFFICE | Age | 10 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||