Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12974 | Date 08/05/2025 |
| Token No | SM/25-26/417 08/05/2025 | Serial | 008 |
| Patient Name | Mr. NAKSH KUMAR RAM | Contact No | 6291779647 |
| Address | 27 INDIA JUTE MILL | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||