Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11713 | Date 27/06/2024 |
| Token No | SM/24-25/17196 27/06/2024 | Serial | 027 |
| Patient Name | Master ARYAN RAM | Contact No | 8013548536 |
| Address | 4 DEY GHAT LANE | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||