Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11114 | Date 08/02/2024 |
| Token No | SM/22-23/14660 08/02/2024 | Serial | 009 |
| Patient Name | Master KARTIK KUMAR | Contact No | 6200397019 |
| Address | RAM SITA LANE | Age | 5 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||