Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 13705 | Date 05/11/2025 |
| Token No | SM/25-26/2521 05/11/2025 | Serial | 007 |
| Patient Name | Master ADHIRAJ BHAR | Contact No | 9804631158 |
| Address | 33 L M B STREET | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||