Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11865 | Date 30/07/2024 |
| Token No | SM/25-26/2931 09/12/2025 | Serial | 004 |
| Patient Name | Master AYUSHMAN PRADHAN | Contact No | 8017111768 |
| Address | ramsita lane | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||