Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12715 | Date 03/03/2025 |
| Token No | SM/24-25/21152 03/03/2025 | Serial | 013 |
| Patient Name | Master ABHAY SINGH | Contact No | 9123325301 |
| Address | 1 L M B STREET | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||