Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 13316 | Date 29/07/2025 |
| Token No | SM/25-26/1449 29/07/2025 | Serial | 005 |
| Patient Name | Master YUVRAJ SUKUWAR | Contact No | 9967801412 |
| Address | 112 R.B. SARANI | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||