Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12914 | Date 23/04/2025 |
| Token No | SM/25-26/214 23/04/2025 | Serial | 025 |
| Patient Name | Master RUDRANSH SINGH | Contact No | 8420202004 |
| Address | JOLKOL | Age | 19 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||