Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10457 | Date 21/09/2023 |
| Token No | SM/22-23/12580 21/09/2023 | Serial | 030 |
| Patient Name | Master ANKIT KR SINGH | Contact No | 9088745448 |
| Address | COCKRAIN ROAD | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||