Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11662 | Date 14/06/2024 |
| Token No | SM/25-26/716 09/06/2025 | Serial | 032 |
| Patient Name | Master PRAVAT KUMAR | Contact No | 8420467719 |
| Address | RAM SITA LANE | Age | 9 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||