Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12078 | Date 07/09/2024 |
| Token No | SM/24-25/18660 07/09/2024 | Serial | 014 |
| Patient Name | Master AMAN KUMAR | Contact No | 8282903615 |
| Address | 6 NO LINE, INDIA JUTE MILL | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||