Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13375 | Date 13/08/2025 |
| Token No | SM/25-26/1654 13/08/2025 | Serial | 009 |
| Patient Name | Master SURIYA PRATAP SINGH | Contact No | 8240264509 |
| Address | 23 DR. N L B STREET | Age | 10 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||