Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11751 | Date 06/07/2024 |
| Token No | SM/24-25/17389 06/07/2024 | Serial | 027 |
| Patient Name | Master AGASTHYA KUMAR | Contact No | 6290274680 |
| Address | 14 NO DEY STREET | Age | 1 YEAR 6 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||