Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12756 | Date 10/03/2025 |
| Token No | SM/24-25/21279 10/03/2025 | Serial | 021 |
| Patient Name | Master KARTIK SINGH | Contact No | 6290872147 |
| Address | 55 RAILAND ROAD | Age | 18 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||