Skip to main content

Free template

OPD slip format

The slip is the patient's half of registration — the card they carry into the consulting room and, if it does its job, bring back next time. It is a small document that decides a surprisingly large thing: whether a returning patient is recognised or registered again from scratch. Two slips to an A4 sheet below.

In short

The slip and the register are two halves of one act. The register is the hospital's log; the slip is the patient's copy; the MR number is what ties them together and is the only field on here that genuinely must not change.

Statutory format?
No — operational, not prescribed
Prints
Two slips per A4
Load-bearing field
MR number
Pairs with
The OPD register

Two slips to an A4 sheet. Replace every field before printing.

SAMPLE DATA — every name, number and fee below is invented for illustration
Sunrise Multispecialty Hospital (Sample)
12, MG Road, Coimbatore – 641001 · 0422-400-1000 (Sample)
OP Slip No.OP-2026-04417

Outpatient Registration Slip

Patient name: Shabana Begum (Sample)
Age / Sex: 34 / F
MR No.: MR-020114
Contact: 98450 xxxxx
Date / Time: 14/03/2026, 09:10
Department: Gynaecology
Doctor: Dr A. Kulkarni
Visit type: New

Consultation fee₹300.00

Please bring this slip on your next visit — it carries your MR number, which keeps your whole history under one file. Valid for follow-up within the hospital's stated follow-up period.

Sunrise Multispecialty Hospital (Sample)
12, MG Road, Coimbatore – 641001 · 0422-400-1000 (Sample)
OP Slip No.OP-2026-04418

Outpatient Registration Slip

Patient name: Rohan Pawar (Sample)
Age / Sex: 6 / M
MR No.: MR-018902
Contact: 99012 xxxxx
Date / Time: 14/03/2026, 09:25
Department: Paediatrics
Doctor: Dr S. Nair
Visit type: Follow-up (within 14 days)

Consultation fee₹0.00

Please bring this slip on your next visit — it carries your MR number, which keeps your whole history under one file. Valid for follow-up within the hospital's stated follow-up period.

Design

What belongs on a slip, and what does not

The MR number, printed large enough to read aloud over a phone. This is the field the whole document exists for. A patient who returns with their slip can be found in seconds; one who returns without it gets searched for by name and, when that fails, re-registered — and one person's history quietly becomes two files.

The visit type, stated. Printing “Follow-up (within 14 days)” rather than just “Follow-up” puts your own rule in the patient's hand. It settles the argument at the desk next week before it starts, and it is the cheapest way to make the follow-up rule real.

The fee, even when it is zero. A slip showing ₹0.00 for a follow-up is a receipt for a decision. A slip with the fee line simply missing is indistinguishable from a slip for a consultation nobody charged for, and at month-end those two look identical in the register.

What does not belong: diagnosis, complaint or any clinical note. The slip is handed over at a counter, carried in a pocket and often read by whoever the patient hands it to. Keep it to identity, routing and money — the clinical record belongs in the file, not on the card.

Practice

Making the slip come back

A slip only pays for itself if patients bring it back. Three things make that more likely, none of them expensive:

  • Print on a stock heavier than ordinary paper, or at least a distinct colour. A slip that looks like a receipt gets treated like one.
  • Say what it is for, on the slip. The line at the bottom of the template above does that job — a patient who knows the number matters keeps the card.
  • Ask for it at the desk before asking for a name. It trains the habit in about three visits, and it is faster for the clerk anyway.

And have a fallback that does not create a new file: search by phone number before issuing a fresh MR number. Most patients who lose the slip still have the phone.

Next

Related templates and tools

In Trisvio

A slip that prints itself, with a number that cannot repeat

Registration assigns the MR number once and reuses it for every later visit, so the slip, the register and the bill all carry the same identity — and a returning patient is found by phone, name or number rather than registered twice.