Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02076 | Date 28/06/2022 |
| Token No | SM/22-23/921 28/06/2022 | Serial | 006 |
| Patient Name | Mr. ANUJ KUMAR SINGH | Contact No | 8017555686 |
| Address | 8 SIMLA SATGHARA ROAD PRABASHNAGAR RISHRA M 712249 | Age | 8 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||