Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12765 | Date 12/03/2025 |
| Token No | SM/24-25/21293 12/03/2025 | Serial | 009 |
| Patient Name | Master ANKUSH KUMAR YADAV | Contact No | 7044350478 |
| Address | PACHU BAZAR | Age | 1 month Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||