Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 12763 | Date 12/03/2025 |
| Token No | SM/25-26/219 23/04/2025 | Serial | 030 |
| Patient Name | Master SHRESHTH KUMAR | Contact No | 9804106375 |
| Address | 79B DEY STREET | Age | 2.5 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||