Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12723 | Date 05/03/2025 |
| Token No | SM/24-25/21187 05/03/2025 | Serial | 005 |
| Patient Name | Master SUBHRAJ KOIRI | Contact No | 7549814490 |
| Address | 79 DEY STREET | Age | 2YRS 6 months Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||