Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13372 | Date 13/08/2025 |
| Token No | SM/25-26/1650 13/08/2025 | Serial | 005 |
| Patient Name | Master SUBHAM SHA | Contact No | 8100260858 |
| Address | 27A BAZAR BYE LANE | Age | 10 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||