Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12660 | Date 13/02/2025 |
| Token No | SM/24-25/20950 13/02/2025 | Serial | 012 |
| Patient Name | Master RIYANSHU KUMAR | Contact No | 9062897184 |
| Address | 6 RAM SITA LANE, NAYABAGAN | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||