Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11075 | Date 29/01/2024 |
| Token No | SM/22-23/14457 29/01/2024 | Serial | 026 |
| Patient Name | Master GANESH BARAT | Contact No | 9330958686 |
| Address | 6/A DOSTI LANE | Age | 11 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||