Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12749 | Date 10/03/2025 |
| Token No | SM/24-25/21265 10/03/2025 | Serial | 007 |
| Patient Name | Master RISHU PRASAD | Contact No | 9432158725 |
| Address | 48/66 BHAGIRATHI LANE | Age | 10 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||