Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07781 | Date 23/11/2022 |
| Token No | SM/24-25/17210 27/06/2024 | Serial | 041 |
| Patient Name | Master SHIKANDAR GUPTA | Contact No | 810035992 |
| Address | 14 D DEY STREET | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||