Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12933 | Date 28/04/2025 |
| Token No | SM/25-26/280 28/04/2025 | Serial | 008 |
| Patient Name | Master RISHI SHA | Contact No | 7686002233 |
| Address | RAM SITA LANE | Age | 9 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||