Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13198 | Date 03/07/2025 |
| Token No | SM/25-26/1081 03/07/2025 | Serial | 006 |
| Patient Name | Master BIRAJ MISHRA | Contact No | 6290608130 |
| Address | 8TH LANE, SARADA MONI PARK, BANSDRONI | Age | 1 MONTH 2 DAYS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||