Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02076 | Date 28/06/2022 |
| Token No | SM/25-26/2090 15/05/2025 | Serial | 053 |
| Patient Name | Mr. ANUJ KUMAR SINGH | Contact No | 8017555686 |
| Address | 8 SIMLA SATGHARA ROAD PRABASHNAGAR RISHRA M 712249 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||