Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12098 | Date 12/09/2024 |
| Token No | SM/24-25/18780 12/09/2024 | Serial | 017 |
| Patient Name | Master SHIVAM RAJBHAR | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||