Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13018 | Date 24/05/2025 |
| Token No | SM/25-26/544 24/05/2025 | Serial | 004 |
| Patient Name | Master AANAV SIL | Contact No | 7980353431 |
| Address | 45/A PANCHANAN TALA LANE | Age | 9 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||