Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 13757 | Date 20/11/2025 |
| Token No | SM/25-26/2696 20/11/2025 | Serial | 010 |
| Patient Name | Master SUPREET SHAW | Contact No | 9835572646 |
| Address | 38 RAIL QUATER | Age | 1 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||