Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11770 | Date 10/07/2024 |
| Token No | SM/24-25/17441 10/07/2024 | Serial | 024 |
| Patient Name | Master ROHIT PRADHAN | Contact No | 8697725580 |
| Address | RAM SITA LANE | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||