Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13676 | Date 30/10/2025 |
| Token No | SM/25-26/2454 30/10/2025 | Serial | 023 |
| Patient Name | Master SURAJ SINGH | Contact No | 9038548971 |
| Address | 55 RAY LAND ROAD | Age | 3 MONTHS 13DAYS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||