Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13529 | Date 16/09/2025 |
| Token No | SM/25-26/2074 16/09/2025 | Serial | 004 |
| Patient Name | Master AYANSH KUMAR | Contact No | 9772456119 |
| Address | 55 RAILAND ROAD | Age | 4 months Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||