Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13012 | Date 21/05/2025 |
| Token No | SM/25-26/527 21/05/2025 | Serial | 012 |
| Patient Name | Master ISHAN KOIRI | Contact No | 9875612916 |
| Address | 36 PANCHANANTALA LANE | Age | 5 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||