Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13794 | Date 28/11/2025 |
| Token No | SM/25-26/2804 28/11/2025 | Serial | 001 |
| Patient Name | Master YASHWANT PRADHAN | Contact No | 9432819935 |
| Address | 2 G G LANE | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||