Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 13385 | Date 14/08/2025 |
| Token No | SM/25-26/1685 14/08/2025 | Serial | 017 |
| Patient Name | Master SHIB KUMAR SHA | Contact No | 7450043907 |
| Address | LBS ROAD | Age | 13 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||