Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11094 | Date 05/02/2024 |
| Token No | SM/22-23/14588 05/02/2024 | Serial | 017 |
| Patient Name | Master MOHIT KUMAR | Contact No | 9038881450 |
| Address | 6 NO RAM SITA LANE | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||