Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12769 | Date 12/03/2025 |
| Token No | SM/24-25/21297 12/03/2025 | Serial | 013 |
| Patient Name | Master NAKSH KUMAR RAM | Contact No | 6291009647 |
| Address | 27 DR. N.L. B. STREET | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||