Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 14978 | Date 26/10/2026 |
| Token No | SM/25-26/6057 26/10/2026 | Serial | 007 |
| Patient Name | Master ADVIK PRASAD | Contact No | 8697400026 |
| Address | 45A PANCHANAN TALA | Age | 5 yr Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||