Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12768 | Date 12/03/2025 |
| Token No | SM/24-25/21296 12/03/2025 | Serial | 012 |
| Patient Name | Master ARYAN SHAW | Contact No | 7044350478 |
| Address | PACHU BAZAR | Age | 2.5 yr Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||