Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 13531 | Date 18/09/2025 |
| Token No | SM/25-26/2086 18/09/2025 | Serial | 009 |
| Patient Name | Master ANURAG SHA | Contact No | 9330490610 |
| Address | JHAUTALA | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||