Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 13023 | Date 24/05/2025 |
| Token No | SM/25-26/550 24/05/2025 | Serial | 010 |
| Patient Name | Baby RIDRANSHI NATH | Contact No | 7595044328 |
| Address | 56 PANCHANAN TALA LANE | Age | 2 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||