Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11930 | Date 09/08/2024 |
| Token No | SM/24-25/18084 09/08/2024 | Serial | 023 |
| Patient Name | Master GAURAB KUMAR SHA | Contact No | 9748548352 |
| Address | 6 RAM SITA LANE | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||