Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12454 | Date 13/12/2024 |
| Token No | SM/24-25/20196 13/12/2024 | Serial | 012 |
| Patient Name | Mr. ADITYA NARAYAN SINGH | Contact No | 7998342426 |
| Address | 14 RAM SITA LANE | Age | 16 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||