Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12164 | Date 30/09/2024 |
| Token No | SM/24-25/19101 30/09/2024 | Serial | 025 |
| Patient Name | Master ANSH PRASAD | Contact No | 9007152990 |
| Address | 3 DEY GHAT LANE | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||