Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12161 | Date 28/09/2024 |
| Token No | SM/24-25/20951 13/02/2025 | Serial | 013 |
| Patient Name | Master RUDRAKSH KUMAR SHA | Contact No | 9062897184 |
| Address | 6 NO RAM SITA LANE | Age | 7 months Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||