Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08772 | Date 17/04/2023 |
| Token No | SM/25-26/714 09/06/2025 | Serial | 030 |
| Patient Name | Master ARYAN KUMAR | Contact No | 8777511709 |
| Address | 126 r.b. sarani | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||