Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 12729 | Date 05/03/2025 |
| Token No | SM/24-25/21194 05/03/2025 | Serial | 012 |
| Patient Name | Master GANESH DAS | Contact No | 7980203400 |
| Address | 106 R B SARANI | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||