Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12941 | Date 30/04/2025 |
| Token No | SM/25-26/317 30/04/2025 | Serial | 010 |
| Patient Name | Master ANAND KUMAR RAY | Contact No | 8420383364 |
| Address | RAM SITA LANE | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||