Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 13825 | Date 04/12/2025 |
| Token No | SM/25-26/2868 04/12/2025 | Serial | 003 |
| Patient Name | Mr. ANKIT KUMAR BHARTI | Contact No | 8981944375 |
| Address | 79 DEY STREET | Age | 12 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||