Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13697 | Date 03/11/2025 |
| Token No | SM/25-26/2485 03/11/2025 | Serial | 021 |
| Patient Name | Master DIVYANSH RAM | Contact No | 8871924288 |
| Address | DEY GHAT LANE | Age | 27 DAYS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||