Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13776 | Date 24/11/2025 |
| Token No | SM/25-26/2746 24/11/2025 | Serial | 033 |
| Patient Name | Master ADITYA BANGARI | Contact No | 9748774548 |
| Address | 84/D DEY STREET | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||