Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 12924 | Date 24/04/2025 |
| Token No | SM/25-26/242 24/04/2025 | Serial | 005 |
| Patient Name | Master VEER SINGH | Contact No | 6290642848 |
| Address | 15 BARAL BAGAN LANE | Age | 11 months Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||