Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11287 | Date 14/03/2024 |
| Token No | SM/22-23/15277 14/03/2024 | Serial | 027 |
| Patient Name | Master ANSH KUMAR | Contact No | 8777219578 |
| Address | RAM SITA LANE | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||