Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13307 | Date 28/07/2025 |
| Token No | SM/25-26/1417 28/07/2025 | Serial | 008 |
| Patient Name | Master SATYAM SINGH | Contact No | 8100535827 |
| Address | 57/71 RAYLAND ROAD | Age | 2 YRS 6 mnths Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||