Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12302 | Date 06/11/2024 |
| Token No | SM/24-25/19591 06/11/2024 | Serial | 009 |
| Patient Name | Master ROHIT RAI | Contact No | 9062250186 |
| Address | 8 DEY ST | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||