Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 11922 | Date 08/08/2024 |
| Token No | SM/24-25/20807 30/01/2025 | Serial | 030 |
| Patient Name | Master NAMAN RAM | Contact No | 6290114859 |
| Address | TELEPHONE EXCHANGE | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||