Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11093 | Date 05/02/2024 |
| Token No | SM/24-25/17567 18/07/2024 | Serial | 009 |
| Patient Name | Master JITU KUMAR | Contact No | 9038881450 |
| Address | 6 NO RAM SITA LANE | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||