Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12952 | Date 05/05/2025 |
| Token No | SM/25-26/345 05/05/2025 | Serial | 004 |
| Patient Name | Master ARYAN KHAN | Contact No | 9830763473 |
| Address | 53 MUSALMAN PARA LANE | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||