Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09294 | Date 12/06/2023 |
| Token No | SM/22-23/10104 12/06/2023 | Serial | 011 |
| Patient Name | Master ANKUR KUMAR | Contact No | 9062436493 |
| Address | 62A RAILAND ROAD | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||